Individual
SHANNELLE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1525 STRATFORD AVE OFC, BRIDGEPORT, CT 06607-1434
(203) 257-8700
(203) 257-8701
Mailing address
1525 STRATFORD AVE OFC, BRIDGEPORT, CT 06607-1434
(203) 257-8700
(203) 257-8701
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0002289
CT
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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