SearchConnecticut104100000X

Brenda Matta

NPI 1023878865 · on the registry since 2024 · sole proprietor

Practice

Address
42 Buckley Ave
Bristol, CT 06010
Phone
(860) 370-0373

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut