Individual
RONALD QUERETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
661 ELLSWORTH ST, BRIDGEPORT, CT 06605-2559
(203) 913-3548
Mailing address
661 ELLSWORTH ST, BRIDGEPORT, CT 06605-2559
(203) 913-3548
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33945
CT
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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