Individual
ODELL GAUNTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
51 WALBRIDGE RD, WEST HARTFORD, CT 06119-1344
(914) 282-3309
Mailing address
51 WALBRIDGE RD, WEST HARTFORD, CT 06119-1344
(914) 282-3309
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
088410
CT
163W00000X
Registered Nurse
RN2358435
MA
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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