Individual
ALYSSA CHRISTINE RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 AUDUBON ST, NEW HAVEN, CT 06511-6433
(203) 562-7662
Mailing address
9 OLD ORCHARD LN, TRUMBULL, CT 06611-5505
(516) 512-1938
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
5320
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2021
Last updated
12/06/2021
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