Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 051006 | CT |
NPI | 1437341245 |
---|---|
Provider Name | Dr. Hillary Sunamoto Hernandez-Trujillo |
First Address | West Hartford, CT 06119-1505 |
Second Address | West Hartford, CT 06119-1505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2007 |
Last Update Date | 05/07/2012 |