Individual
THALITA TEIXEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 SUMMIT PL, STAMFORD, CT 06906-1019
(203) 918-1320
Mailing address
28 SUMMIT PL, STAMFORD, CT 06906-1019
(203) 918-1320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
753930
NY
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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