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Amber Fae Wild, BFA
Other Specialist/Technologist in New Hartford, Connecticut
NPI 1326724378

Amber Fae Wild is a Other Specialist/Technologist based in New Hartford, CT. Amber Fae Wild practices in New Hartford, CT and has the professional credentials of BFA. The NPI Number for Amber Fae Wild is 1326724378 and holds a License No. TAT.000490 (Connecticut).

The current practice location address for Amber Fae Wild is 280 Main St # C, New Hartford, CT and can be reached out via phone at 860-251-9404.

Location: 280 Main St # C, New Hartford, CT, 06057-2000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326724378
Provider Name
Amber Fae Wild
Credential
BFA
Provider Entity Type
Individual
Gender
Female
Address
280 Main St # C, New Hartford, CT, 06057-2000
Phone Number
860-251-9404
Fax Number
Provider Enumeration Date
06/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
280 Main St # C
City
New Hartford
State
Connecticut
Zip
06057-2748
Phone Number
860-251-9404
Fax Number
person
Provider Business Mailing Address Details
Address
280 Main St # C
City
New Hartford
State
Connecticut
Zip
06057-2748
Phone Number
860-251-9404
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
TAT.000490 (Connecticut)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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