Search › Connecticut › 1041C0700X
Ketsia Destra
NPI 1740973296 · on the registry since 2023
Practice
- Address
- 80 Prospect St
Waterbury, CT 06702 - Phone
- (203) 598-8630
- Organisation at this address
- Connecticut Junior Republic Association, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Sex
- Female
- Record last updated
- 2023-05-31
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