Individual
RICHARD A GUILBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
Mailing address
PO BOX 452349, SUNRISE, FL 33345-2349
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
002233
CT
Other
Enumeration date
03/14/2006
Last updated
12/26/2014
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