Individual
MS. SEQUESE LACOLE ARLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 WALKER LN, BLOOMFIELD, CT 06002-2853
(860) 719-7774
Mailing address
442 BARBOUR ST, 2A, HARTFORD, CT 06120-1047
(860) 719-7774
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/14/2010
Last updated
08/14/2010
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