DAEDLY POTUSEK

WATERBURY, CT
NPI1578022166
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT  8133)
Enumeration Date2019-03-14
Last Update Date2019-03-14
Business Address
DAEDLY POTUSEK
80 PHOENIX AVE
WATERBURY, CT 06702-1418
Phone number: 203-756-8021
Mailing Address
DAEDLY POTUSEK
80 PHOENIX AVE
WATERBURY, CT 06702-1418
Phone number: