Individual
DIANE GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 396-1086
(203) 659-3299
Mailing address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 396-1086
(203) 659-3299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
174103
CT
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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