Individual
MS. SHAYNA ROSE ULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 BLOOMFIELD AVE, WEST HARTFORD, CT 06117-1500
(860) 236-1927
Mailing address
27 FIRETHORN DR, EDISON, NJ 08820-4131
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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