Individual
DARESA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 CONE ST, MANCHESTER, CT 06040-4450
(860) 478-5343
Mailing address
38 CONE ST, MANCHESTER, CT 06040-4450
(860) 478-5343
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
028566
CT
174N00000X
Lactation Consultant (Non-RN)
Primary
—
CT
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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