Individual
TAWANA GUADARRAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 MAIN ST FL 3, HARTFORD, CT 06106-1890
(860) 296-6400
(860) 728-3782
Mailing address
405 FRANCIS ST, NEW BRITAIN, CT 06053-3052
(860) 538-7854
(860) 728-3782
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
26
CT
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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