Individual
MISS SESE D BALOUKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
490 TOLLAND ST, EAST HARTFORD, CT 06108-2502
(860) 706-2508
Mailing address
490 TOLLAND ST, EAST HARTFORD, CT 06108-2502
(860) 706-2508
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
41167
CT
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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