Djoser Mack is a student in an organized health care education training program in Farmington, CT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Djoser Mack NPI is 1629655592. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
263 FARMINGTON AVE # LG065
FARMINGTON, CT
ZIP 06030-001
Phone: (860) 679-4988
Fax: (860) 679-3489
The enumeration date for this NPI number is 3/26/2021 and was last updated on 3/26/2021.