Individual
MRS. TAMECO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 CHAPEL STREET, NEW HAVEN, CT 06519
(203) 789-3540
Mailing address
320 HENRY AVENUE, STRATFORD, CT 06614
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN 064324
CT
Other
Enumeration date
11/12/2008
Last updated
09/22/2011
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