Provider Demographics
NPI:1699442228
Name:COFINO, COURTNEY CONTOS (NBHWC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:CONTOS
Last Name:COFINO
Suffix:
Gender:F
Credentials:NBHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 QUARRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-9050
Mailing Address - Country:US
Mailing Address - Phone:802-318-7328
Mailing Address - Fax:
Practice Address - Street 1:148 QUARRY HILL RD
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-9050
Practice Address - Country:US
Practice Address - Phone:802-318-7328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
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