Individual
CECRYSTAL UMEUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 SHORTELL DRIVE, ANSONIA, CT 06401-2402
(203) 906-6486
Mailing address
5 SHORTELL DR, ANSONIA, CT 06401-2402
(203) 906-6486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5879
CT
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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