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Walter M Jongbloed
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1184250722

Walter M Jongbloed is a Student in an Organized Health Care Education/Training Program based in Farmington, CT. Walter M Jongbloed practices in Farmington, CT. The NPI Number for Walter M Jongbloed is 1184250722 and holds a License No. (Connecticut).

The current practice location address for Walter M Jongbloed is 263 Farmington Ave, Farmington, CT and can be reached out via phone at 203-868-4157.

Location: 263 Farmington Ave, Farmington, CT, 06030-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184250722
Provider Name
Walter M Jongbloed
Credential
Provider Entity Type
Individual
Gender
Male
Address
263 Farmington Ave, Farmington, CT, 06030-0001
Phone Number
203-868-4157
Fax Number
Provider Enumeration Date
03/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
203-868-4157
Fax Number
person
Provider Business Mailing Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
203-868-4157
Fax Number
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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