Individual
MARQUITA STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 DIXWELL AVE, HAMDEN, CT 06514-2405
(203) 287-0835
Mailing address
15 SMITH ST, WEST HAVEN, CT 06516-4516
(203) 521-5406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10211
CT
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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