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Sophia Bolanos
Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut
NPI 1326670423

Sophia Bolanos is a Student in an Organized Health Care Education/Training Program based in Waterbury, CT. Sophia Bolanos practices in Waterbury, CT. The NPI Number for Sophia Bolanos is 1326670423 and holds a License No. (Connecticut).

The current practice location address for Sophia Bolanos is 141 E Main St, Waterbury, CT and can be reached out via phone at 203-574-9000 and via fax at 203-574-9006.

Location: 141 E Main St, Waterbury, CT, 06702-2310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326670423
Provider Name
Sophia Bolanos
Credential
Provider Entity Type
Individual
Gender
Female
Address
141 E Main St, Waterbury, CT, 06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006
Provider Enumeration Date
02/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
141 E Main St
City
Waterbury
State
Connecticut
Zip
06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006
person
Provider Business Mailing Address Details
Address
141 E Main St
City
Waterbury
State
Connecticut
Zip
06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006
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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