Individual
CHARLENE ANN WILLAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
703 NORWICH AVE, COLCHESTER, CT 06415-2148
(860) 949-2023
Mailing address
703 NORWICH AVE, COLCHESTER, CT 06415
(860) 949-2023
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
E38632
CT
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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