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Dwayne Thompson
Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut
NPI 1316649452

Dwayne Thompson is a Student in an Organized Health Care Education/Training Program based in Waterbury, CT. Dwayne Thompson practices in Waterbury, CT. The NPI Number for Dwayne Thompson is 1316649452 and holds a License No. (Connecticut).

The current practice location address for Dwayne Thompson is 27 N Elm Street, Waterbury, CT and can be reached out via phone at 203-574-3986.

Location: 27 N Elm Street, Waterbury, CT, 06702-2310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316649452
Provider Name
Dwayne Thompson
Credential
Provider Entity Type
Individual
Gender
Male
Address
27 N Elm Street, Waterbury, CT, 06702-2310
Phone Number
203-574-3986
Fax Number
Provider Enumeration Date
03/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
27 N Elm Street
City
Waterbury
State
Connecticut
Zip
06702
Phone Number
203-574-3986
Fax Number
person
Provider Business Mailing Address Details
Address
27 N Elm Street
City
Waterbury
State
Connecticut
Zip
06702
Phone Number
203-574-3986
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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