person
Raquel Marie Divincenzo
Student in an Organized Health Care Education/Training Program in Fairfield, Connecticut
NPI 1013481316

Raquel Marie Divincenzo is a Student in an Organized Health Care Education/Training Program based in Fairfield, CT. Raquel Marie Divincenzo practices in Fairfield, CT. The NPI Number for Raquel Marie Divincenzo is 1013481316 and holds a License No. (Connecticut).

The current practice location address for Raquel Marie Divincenzo is 5151 Park Ave # Mc1425, Fairfield, CT and can be reached out via phone at 845-531-9572.

Location: 5151 Park Ave # Mc1425, Fairfield, CT, 06825-1090
person
Provider Profile Details
NPI Number
1013481316
Provider Name
Raquel Marie Divincenzo
Credential
Provider Entity Type
Individual
Gender
Female
Address
5151 Park Ave # Mc1425, Fairfield, CT, 06825-1090
Phone Number
845-531-9572
Fax Number
Provider Enumeration Date
01/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82100177502 01 NY MVP HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
5151 Park Ave # Mc1425
City
State
Zip
06825-1090
Phone Number
845-531-9572
Fax Number
person
Provider Business Mailing Address Details
Address
5151 Park Ave # Mc1425
City
State
Zip
06825-1090
Phone Number
845-531-9572
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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