Individual
MS. SHERRY L GATLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR STYLIST
Contact information
Practice address
394 MILL STREET, 2ND FLR N, WATERBURY, CT 06706
(203) 206-1412
Mailing address
45 FREIGHT STREET #1, WATERBURY, CT 06702
(203) 206-1412
(203) 753-9453
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962
HAIR AND SKIN PRODUCTS
CT
Enumeration date
10/01/2012
Last updated
10/01/2012
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