| Maria Katrina Ricca, Llc | |
|
847 W Main St Ste 3 Branford CT 06405-3456 | |
| (408) 205-9336 | |
| Not Available |
| Full Name | Maria Katrina Ricca, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 847 W Main St Ste 3, Branford, Connecticut |
| Authorized Official Name and Position | Maria Katrina Ricca (OWNER) |
| Authorized Official Contact | 4082059336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Katrina Ricca, Llc 58 Whalers Pt East Haven CT 06512-4846 Ph: (408) 205-9336 | Maria Katrina Ricca, Llc 847 W Main St Ste 3 Branford CT 06405-3456 Ph: (408) 205-9336 |
| NPI Number | 1326546110 |
|---|---|
| Provider Enumeration Date | 01/26/2018 |
| Last Update Date | 01/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326546110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 001960 (Connecticut) | Primary |
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