MARY BALANTIC

ENFIELD, CT
NPI1730351313
Former NameMARY PRESTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CT  084303)
Enumeration Date2008-03-24
Last Update Date2008-03-24
Business Address
-- MARY BALANTIC RN
5 N MAIN ST
ENFIELD, CT 06082-3372
Phone number: 860-253-9024
Mailing Address
-- MARY BALANTIC RN
635 MAIN ST ATTN: CREDENTIALING DPT
MIDDLETOWN, CT 06457-2718
Phone number: 860-347-6971
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