Individual
MARIAH BARIL-DORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
950 CAMPBELL AVE # 11ACSL1, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, FIRM B, WOMENS CLINIC, WEST HAVEN, CT 06516
(203) 932-5711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
153082
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
9009
CT
Other
Enumeration date
04/13/2020
Last updated
12/14/2022
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