person
Lisselot Vicioso
Student in an Organized Health Care Education/Training Program in Hartford, Connecticut
NPI 1689151110

Lisselot Vicioso is a Student in an Organized Health Care Education/Training Program based in Hartford, CT. Lisselot Vicioso practices in Hartford, CT. The NPI Number for Lisselot Vicioso is 1689151110 and holds a License No. (Connecticut).

The current practice location address for Lisselot Vicioso is 104 Douglas St, Hartford, CT and can be reached out via phone at 860-890-3032.

Location: 104 Douglas St, Hartford, CT, 06110-1967
person
Provider Profile Details
NPI Number
1689151110
Provider Name
Lisselot Vicioso
Credential
Provider Entity Type
Individual
Gender
Female
Address
104 Douglas St, Hartford, CT, 06110-1967
Phone Number
860-890-3032
Fax Number
Provider Enumeration Date
07/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
104 Douglas St
City
State
Zip
06114-2421
Phone Number
860-890-3032
Fax Number
person
Provider Business Mailing Address Details
Address
104 Douglas St
City
State
Zip
06114-2421
Phone Number
860-890-3032
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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