Individual
SOPHIA GABRIELLE BOSQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
100 EDWARDS ST APT 3A, NEW HAVEN, CT 06511-3940
(858) 750-9223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
235019
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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