Individual
BONGIWE YOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
197 WILTON RD, WESTPORT, CT 06880-2334
(203) 558-9490
Mailing address
340 EAST MOUNTAIN ROAD, WATERBURY, CT 06706
(203) 558-9490
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CT
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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