Individual
PHILVIE GUERY NESTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
395 WIKLUND AVE, STRATFORD, CT 06614-4524
(203) 520-1982
Mailing address
395 WIKLUND AVE, STRATFORD, CT 06614-4524
(203) 520-1982
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
032201
CT
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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