Individual
MS. GAIL LEE SANJUAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
ROUTE 12 BLDG 449, ATTN PROFESSIONAL AFFAIRS NAVAL AMBULATORY CARE CENTER, GROTON, CT 06349-5600
(860) 694-2377
(860) 694-2590
Mailing address
ROUTE 12 BLDG 449, ATTN PROFESSIONAL AFFAIRS NAVAL AMBULATORY CARE CENTER, GROTON, CT 06349-5600
(860) 694-2377
(860) 694-2590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R43683
CT
Other
Enumeration date
11/17/2005
Last updated
07/08/2007
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