LISSELOT VICIOSO

HARTFORD, CT
NPI1689151110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-07-27
Last Update Date2018-07-27
Business Address
LISSELOT VICIOSO
104 DOUGLAS ST
HARTFORD, CT 06114-2421
Phone number: 860-890-3032
Mailing Address
LISSELOT VICIOSO
101 SOUTH ST FL 2
HARTFORD, CT 06110-1967
Phone number: 860-890-3032