Individual
MS. CHANAE AAPRI GHOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
47 QUINNIPIAC CT, NEW HAVEN, CT 06513-1733
(293) 901-4018
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32990
CT
Other
Enumeration date
09/14/2017
Last updated
03/17/2018
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