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Dimytra Kowaleski-pham
Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut
NPI 1851170229

Dimytra Kowaleski-pham is a Student in an Organized Health Care Education/Training Program based in Waterbury, CT. Dimytra Kowaleski-pham practices in Waterbury, CT. The NPI Number for Dimytra Kowaleski-pham is 1851170229 and holds a License No. (Connecticut).

The current practice location address for Dimytra Kowaleski-pham is 141 E Main St, Waterbury, CT and can be reached out via phone at 203-574-9000.

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
1851170229
Provider Name
Dimytra Kowaleski-pham
Credential
Provider Entity Type
Individual
Gender
Female
Address
141 E Main St, Waterbury, CT, 06702-2310
Phone Number
203-574-9000
Fax Number
Provider Enumeration Date
09/26/2023
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
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
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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