Individual
SEBASTIAN FERNANDEZ DE SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 545-5000
Mailing address
99 EAST RIVER DRIVE, 5TH FLOOR, EAST HARTFORD, CT 06108
(860) 282-0833
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
146937
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
9102
CT
Other
Enumeration date
05/01/2020
Last updated
09/02/2020
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