Individual
MISS TRACEY DUBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1081 NEW HAVEN RD, APT. 13J, NAUGATUCK, CT 06770-4770
(203) 524-5770
Mailing address
1081 NEW HAVEN RD, APT. 13J, NAUGATUCK, CT 06770-4770
(203) 524-5770
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305040-1
NY
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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