Individual
SHEILA ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
261 COVE RD, STAMFORD, CT 06902-5220
(203) 524-9648
Mailing address
261 COVE RD, STAMFORD, CT 06902-5220
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
333758
NY
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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