Individual
MARYAM BUHOLAYKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
1178 SILAS DEANE HWY APT 202, WETHERSFIELD, CT 06109-4341
(860) 316-9090
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
13254
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2021
Last updated
08/22/2021
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