Individual
SANDRA HUTCHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
497 GRAND ST, BRIDGEPORT, CT 06604-3217
(917) 941-2962
Mailing address
497 GRAND ST, BRIDGEPORT, CT 06604-3217
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
279500
NY
Other
Enumeration date
02/05/2013
Last updated
10/28/2024
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