Individual provider · Type 1 NPI

Jessica Bauza

Student in an Organized Health Care Education/Training Program · Enfield, CT

NPI number 1619409604 Active

Practice location

153 Hazard Ave
Enfield, CT 06082-4592

Call (860) 253-5020 Map

Fax (860) 253-5030

Mailing address

995 Day Hill Rd
Windsor, CT 06095-1722

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1619409604

Jessica Bauza's National Provider Identifier is 1619409604, issued on Mar 30, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Enfield, CT. The record was last updated on Mar 30, 2017.