Individual
HETCHEY DOFFOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 WASHINGTON AVE, BRIDGEPORT, CT 06604-3803
(203) 345-1400
Mailing address
126 WASHINGTON AVE, BRIDGEPORT, CT 06604-3803
(203) 345-1400
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
097248
CT
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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