| Gideon Dwomo, | |
|
153 Hazard Ave, Enfield, CT 06082-4592 | |
| (860) 253-5020 | |
| (860) 253-5030 |
| Full Name | Gideon Dwomo |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 153 Hazard Ave, Enfield, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235631342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 040075 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gideon Dwomo, 995 Day Hill Rd, Windsor, CT 06095-1722 Ph: (860) 731-5522 | Gideon Dwomo, 153 Hazard Ave, Enfield, CT 06082-4592 Ph: (860) 253-5020 |
Izabela Roszkowska, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 860-253-5020 Fax: 860-253-5030 | |
Shanece R Mifflin, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 860-731-5522 Fax: 860-731-5536 | |
Blake Barrows, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 860-253-5020 | |
Clerona Cain, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 860-253-5020 | |
Symanther N Grey, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 860-731-5522 Fax: 860-731-5536 | |
Gayon Buchanan-spencer, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 860-253-5020 Fax: 860-731-5536 | |
Ericka Caldwell, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 153 Hazard Ave, Enfield, CT 06082 Phone: 860-253-5020 Fax: 860-731-5536 |