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Terra Smith
Student in an Organized Health Care Education/Training Program in Bloomfield, Connecticut
NPI 1053893495

Terra Smith is a Student in an Organized Health Care Education/Training Program based in Windsor, CT. Terra Smith practices in Bloomfield, CT. The NPI Number for Terra Smith is 1053893495 and holds a License No. (Connecticut).

The current practice location address for Terra Smith is 693 Bloomfield Avenue, Bloomfield, CT and can be reached out via phone at 860-731-5522 and via fax at 860-731-5536.

Location: 693 Bloomfield Avenue, Bloomfield, CT, 06095
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053893495
Provider Name
Terra Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
693 Bloomfield Avenue, Bloomfield, CT, 06095
Phone Number
860-731-5522
Fax Number
860-731-5536
Provider Enumeration Date
09/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
693 Bloomfield Avenue
City
Bloomfield
State
Connecticut
Zip
06002
Phone Number
860-731-5522
Fax Number
860-731-5536
person
Provider Business Mailing Address Details
Address
693 Bloomfield Avenue
City
Bloomfield
State
Connecticut
Zip
06002
Phone Number
860-731-5522
Fax Number
860-731-5536
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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