THERESA EILEEN WILD

BRISTOL, CT
NPI1285853101
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CT  E57029)
Enumeration Date2007-04-25
Last Update Date2007-07-08
Business Address
Miss THERESA EILEEN WILD RN
440 N MAIN ST # C
BRISTOL, CT 06010-4990
Phone number: 860-583-5858
Mailing Address
Miss THERESA EILEEN WILD RN
PO BOX 1280
BRISTOL, CT 06011-1280
Phone number: 860-583-5858