Individual
MERLINE PHIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 MILFORD AVE, STRATFORD, CT 06615-5617
(203) 684-6252
Mailing address
190 MILFORD AVE, STRATFORD, CT 06615-5617
(203) 684-6252
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
266085
NY
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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