Individual
MS. YVES MARIE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LORRAINE ST, BRIDGEPORT, CT 06604-2223
(203) 434-9472
Mailing address
1 LORRAINE ST, BRIDGEPORT, CT 06604-2223
(203) 434-9472
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34855
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34855
LICENSE
CT
Enumeration date
09/04/2021
Last updated
09/04/2021
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