Individual
SAMMY MAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
47 AVONWOOD RD APT 103, AVON, CT 06001-2010
(959) 221-8496
Mailing address
47 AVONWOOD RD APT 103, AVON, CT 06001-2010
(959) 221-8496
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L01591L
CT
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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