Individual
MR. FRANCIS ASCENCIO GOUVEIA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
95 WOODLAND ST, HARTFORD, CT 06105-1230
(860) 714-7132
Mailing address
15 DELBON LN, AVON, CT 06001-3422
(860) 675-9747
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000366
CT
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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