DANIELLE PROVONCHA

NEW LONDON, CT
NPI1619373248
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CT  6012)
Enumeration Date2014-11-10
Last Update Date2023-10-30
Business Address
DANIELLE PROVONCHA CRNA
365 MONTAUK AVE
NEW LONDON, CT 06320-4700
Phone number: 860-442-0711
Mailing Address
DANIELLE PROVONCHA CRNA
690 CANTON ST SUITE 325
WESTWOOD, MA 02090-2321
Phone number: 781-407-7713
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