Individual
MS. GWENDOLYN LORRAINE WATFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
100 STATE ST APT 139, NORTH HAVEN, CT 06473-2227
(860) 729-4711
Mailing address
100 STATE ST APT 139, NORTH HAVEN, CT 06473-2227
(860) 729-4711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10.131049
CT
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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