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Janet Suquilanda

Community Health Worker in Waterbury, CT. Individual provider (NPI-1).

NPI number1558089656
StatusActive
Last updated in NPPESAug 16, 2022

Details

NPI
1558089656
Entity type
Individual (NPI-1)
Name
Janet Suquilanda
Sex
Female
Sole proprietor
No
Enumeration date
Aug 16, 2022
Certification date
Aug 16, 2022
Last updated
Aug 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

141 E Main St
Waterbury, CT 06702-2310

Phone 203-574-9000

Mailing address

141 E Main St
Waterbury, CT 06702-2310

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