Individual
PHYLISHA L HARDWARE-BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 TOWNE ST, STAMFORD, CT 06902-5930
(917) 288-1158
Mailing address
121 TOWNE ST, STAMFORD, CT 06902-5930
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
340539
NY
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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