LISA MA PROVERA

HARTFORD, CT
NPI1922510536
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CT  122606)
Enumeration Date2017-11-05
Last Update Date2017-11-05
Business Address
LISA MA PROVERA
43 WOODLAND ST
HARTFORD, CT 06105-2363
Phone number: 888-793-3500
Mailing Address
LISA MA PROVERA
91 FALKNOR DR
MANCHESTER, CT 06040-2642
Phone number: 860-961-9558
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