Provider Demographics
NPI:1932243300
Name:SEGURO-WRIGHT, NATALIA MARIA (L AC)
Entity type:Individual
Prefix:MS
First Name:NATALIA
Middle Name:MARIA
Last Name:SEGURO-WRIGHT
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 DAY POND RD
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-2607
Mailing Address - Country:US
Mailing Address - Phone:860-295-1136
Mailing Address - Fax:860-295-1136
Practice Address - Street 1:11 S MAIN ST
Practice Address - Street 2:SUITE # 3
Practice Address - City:MARLBOROUGH
Practice Address - State:CT
Practice Address - Zip Code:06447-1553
Practice Address - Country:US
Practice Address - Phone:860-295-1136
Practice Address - Fax:860-295-1136
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000369171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist