Wallace Ann Gustafson, MAP, MA - Hartford, CT

Wallace Ann Gustafson, MAP,MA

Student in an Organized Health Care Education/Training Program in Hartford, Connecticut

NPI 1972212959

Wallace Ann Gustafson is a Student in an Organized Health Care Education/Training Program based in Willmar, CT. Wallace Ann Gustafson practices in Hartford, CT and has the professional credentials of MAP,MA. The NPI Number for Wallace Ann Gustafson is 1972212959 and holds a License No. (Connecticut).

The current practice location address for Wallace Ann Gustafson is 331 Wethersfield Ave, Hartford, CT and can be reached out via phone at 860-236-4511.

Location: 331 Wethersfield Ave, Hartford, CT, 56201-0567

NPI Number

1972212959

Provider Name

Wallace Ann Gustafson

Credential

MAP,MA

Provider Entity Type

Individual

Gender

Female

Address

331 Wethersfield Ave, Hartford, CT, 56201-0567

Phone Number

860-236-4511

Fax Number

Provider Enumeration Date

11/18/2022

Last Update Date

03/10/2024

Address

331 Wethersfield Ave

City

Hartford

State

Connecticut

Zip

06114-1420

Phone Number

860-236-4511

Fax Number

Address

331 Wethersfield Ave

City

Hartford

State

Connecticut

Zip

06114-1420

Phone Number

860-236-4511

Fax Number

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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