Individual
MRS. CAROL LYNN GAETJEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CS
Contact information
Practice address
39 BARTLETT HOLW, MIDDLETOWN, CT 06457-1886
(203) 980-6592
Mailing address
39 BARTLETT HOLW, MIDDLETOWN, CT 06457-1886
(203) 980-6592
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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