person
Dr. Mikhail Lagrimas De Jesus, DO
Student in an Organized Health Care Education/Training Program in Hartford, Connecticut
NPI 1962021311

Mikhail Lagrimas De Jesus is a Student in an Organized Health Care Education/Training Program based in Farmington, CT. Mikhail Lagrimas De Jesus practices in Hartford, CT and has the professional credentials of DO. The NPI Number for Mikhail Lagrimas De Jesus is 1962021311 and holds a License No. (Connecticut).

The current practice location address for Mikhail Lagrimas De Jesus is 79 Retreat Ave, Hartford, CT and can be reached out via phone at 860-972-0200 and via fax at 860-545-3149.

Location: 79 Retreat Ave, Hartford, CT, 06030-0001
person
Provider Profile Details
NPI Number
1962021311
Provider Name
Mikhail Lagrimas De Jesus
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
79 Retreat Ave, Hartford, CT, 06030-0001
Phone Number
860-972-0200
Fax Number
860-545-3149
Provider Enumeration Date
04/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
79 Retreat Ave
City
State
Zip
06106-2527
Phone Number
860-972-0200
Fax Number
860-545-3149
person
Provider Business Mailing Address Details
Address
79 Retreat Ave
City
State
Zip
06106-2527
Phone Number
860-972-0200
Fax Number
860-545-3149
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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