Individual
WASCAR GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
43 WOODLAND ST, HARTFORD, CT 06105-2363
(860) 586-7192
Mailing address
19 COTTAGE ST, WINSTED, CT 06098-1211
(860) 202-4122
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
028477
CT
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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