Provider Demographics
NPI:1821303868
Name:ARLINE, SEQUESE LACOLE
Entity Type:Individual
Prefix:MS
First Name:SEQUESE
Middle Name:LACOLE
Last Name:ARLINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442 BARBOUR ST
Mailing Address - Street 2:2A
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06120-1047
Mailing Address - Country:US
Mailing Address - Phone:860-719-7774
Mailing Address - Fax:
Practice Address - Street 1:15 WALKER LN
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-2853
Practice Address - Country:US
Practice Address - Phone:860-719-7774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-14
Last Update Date:2010-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment