RENEE PATRICE DIVINE

FAIRFIELD, CT
NPI1245028521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CT  NA)
Enumeration Date2025-04-28
Last Update Date2025-04-28
Business Address
MRS. RENEE PATRICE DIVINE
1073 N BENSON RD
FAIRFIELD, CT 06824-5195
Phone number: 203-254-4000
Mailing Address
MRS. RENEE PATRICE DIVINE
95 ROCKLAND AVE
STRATFORD, CT 06614-3117
Phone number: 203-241-6739
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