LUCAS REIDER VERSLAND

NEW BRITAIN, CT
NPI1962031500
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-06
Last Update Date2020-04-06
Business Address
LUCAS REIDER VERSLAND DO
100 GRAND ST
NEW BRITAIN, CT 06052-2016
Phone number: 860-224-5261
Mailing Address
LUCAS REIDER VERSLAND DO
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2147