Individual
DESIREE EDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 HAMILTON ST, HARTFORD, CT 06106-2911
(860) 578-1300
Mailing address
245 HAMILTON ST, HARTFORD, CT 06106-2911
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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