Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 000133 | CT |
NPI | 1093972648 |
---|---|
Provider Name | Dr. Rosanne Demanski |
First Address | West Hartford, CT 06107-2162 |
Second Address | West Hartford, CT 06107-2162 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2008 |
Last Update Date | 21/05/2008 |