Individual
GELMIRA KAREN THEODORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
710 SAVIN AVE APT 5, WEST HAVEN, CT 06516-4313
(203) 621-4149
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
144077
CT
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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