Individual
MAAYAN EDEN CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
110 W 94TH ST APT 2B, NEW YORK, NY 10025-7018
(917) 828-4566
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14079
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2024
Last updated
07/08/2025
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