Individual
MS. PAULINE PATRICIA COORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
38 HIGGINS AVE, BRIDGEPORT, CT 06606-3716
(203) 690-2371
Mailing address
38 HIGGINS AVE, BRIDGEPORT, CT 06606
(203) 690-2371
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
032832
CT
164W00000X
Licensed Practical Nurse
Primary
235557-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01863083
—
NY
Enumeration date
08/28/2012
Last updated
08/28/2012
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