Individual
DIANE CHODKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
146 LOVERS LN, GUILFORD, CT 06437-2851
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R48443
CT
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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