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Individual

ROZLYN GRACE PORAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CRNA

Contact information

Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4440
(203) 416-9032
Mailing address
4753 MALLARD LAKE CV, COLLIERVILLE, TN 38017-9360
(207) 416-9032

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
138969
CT
367500000X
Certified Registered Nurse Anesthetist
31389
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
7982
CT

Other

Enumeration date
11/28/2018
Last updated
12/17/2024
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