Individual
ALYSSA MARIE WALRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 MEADOW ST, NEW HAVEN, CT 06519-1783
(475) 220-1234
Mailing address
54 MEADOW ST, NEW HAVEN, CT 06519-1783
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8640
CT
Other
Enumeration date
09/23/2019
Last updated
02/04/2026
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