Individual provider · NPI-1

Zazz -Byrd

Community Health Worker · Waterbury, CT

NPI number1962838615
StatusActive
Last updated in NPPESSep 25, 2013

Details

NPI
1962838615
Entity type
Individual (NPI-1)
Name
Zazz -Byrd
Sex
Female
Sole proprietor
No
Enumeration date
Sep 25, 2013
Last updated
Sep 25, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

141 E Main St
Waterbury, CT 06702-2310

Phone 203-574-9000 · Fax 203-574-9006

Mailing address

141 E Main St
Waterbury, CT 06702-2310

Phone 203-574-9000 · Fax 203-574-9006

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