Individual
JOANNE MELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-6654
Mailing address
158 OXBOW RD, HIGGANUM, CT 06441-4012
(860) 554-5399
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5640
CT
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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