Individual
MINI ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(914) 740-3976
Mailing address
PALAVILA, PANDALAM, KERALA 68951-8
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT0013481
CT
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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