Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Reginal Predestin, OWNER

Individual provider Contractor · NPI 1306595244

Reginal Predestin, OWNER is a Contractor in Bridgeport, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

250 N Bishop Ave Apt 2
Bridgeport, CT 06610-2455
Phone: (203) 572-6065
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Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1306595244
Entity typeIndividual (Type 1)
GenderMale
Credentials OWNER
Sole proprietorYes
NPI enumeratedMarch 19, 2022
Last updated in NPPESMarch 19, 2022
Certification dateMarch 19, 2022
Mailing address250 N Bishop Ave Apt 2, Bridgeport, CT 06610-2455

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