Individual
WILBERT ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
46 LOCKHART AVE, WATERBURY, CT 06705-1923
(914) 300-3815
Mailing address
46 LOCKHART AVE, WATERBURY, CT 06705-1923
(914) 300-3815
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
286410
NY
164W00000X
Licensed Practical Nurse
41343
CT
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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