Individual
MISS DORINE JEUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 MYNO LANE, STAMFORD, CT 06902
(203) 550-3753
Mailing address
152 MYANO LN, STAMFORD, CT 06902-2122
(203) 550-3753
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
093204
CT
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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