Individual
MS. SALLIRA MASSIEL SUERO DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12 DRYDEN ST APT 1E, STAMFORD, CT 06902-4637
(646) 904-3313
Mailing address
12 DRYDEN ST APT 1E, STAMFORD, CT 06902-4637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
871605
NY
Other
Enumeration date
11/11/2025
Last updated
11/19/2025
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