Individual
YAO AGBOLOSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
51 PINECREST DR, EAST HARTFORD, CT 06118-2737
(860) 833-6928
Mailing address
51 PINECREST DR, EAST HARTFORD, CT 06118-2737
(860) 833-6928
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
143873
CT
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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