Individual
LARISSA A WALTOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
41 MECHANIC ST STE 1, WINDSOR, CT 06095-2554
(860) 854-4608
Mailing address
41 MECHANIC ST STE 1, WINDSOR, CT 06095-2554
(860) 854-4608
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
0014133740
CT
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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