Lisselot Vicioso is a student in an organized health care education training program in Hartford, CT. The provider is 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. Lisselot Vicioso NPI is 1689151110. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
104 DOUGLAS ST
HARTFORD, CT
ZIP 06114-421
Phone: (860) 890-3032
The enumeration date for this NPI number is 7/27/2018 and was last updated on 7/27/2018.