Individual
YESSENIA ELIZABETH GLOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 MAIN ST, EAST HARTFORD, CT 06108-1684
(860) 502-9273
Mailing address
1406 MAIN ST, EAST HARTFORD, CT 06108-1684
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
CHA.0001851
CT
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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