Individual
MRS. JILL R BLOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
25 CANTERBURY LN, WINDSOR, CT 06095-2065
(860) 219-9723
Mailing address
PO BOX 521, WINDSOR, CT 06095-0521
(860) 837-1130
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
CT
376K00000X
Nurse's Aide
CT091303632E
CT
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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