Individual
MISS ASHANTIA HOLIZA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCA/CNA
Contact information
Practice address
490 TOLLAND ST, EAST HARTFORD, CT 06108-2502
(860) 281-3300
Mailing address
1078 NEW BRITAIN AVE, WEST HARTFORD, CT 06110-2439
(860) 993-2399
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
12/27/2011
Last updated
09/24/2018
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