Individual
MISS YEKATERINA GABOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 MYRTLE AVE OFC 204, BRIDGEPORT, CT 06604-7762
(203) 717-2474
Mailing address
250 MYRTLE AVE OFC 204, BRIDGEPORT, CT 06604-7762
(203) 717-2474
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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