Individual
GEORGINA DULAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-3013
(860) 528-1359
Mailing address
94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-3013
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
E54064
CT
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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