Individual
MAIA DETERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 PARK ST, NEW HAVEN, CT 06511-5474
(203) 688-4242
Mailing address
55 PARK ST, NEW HAVEN, CT 06511-5474
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PCT.0015719
CT
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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