Individual
MRS. NICOLE DUNAY CALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 REEF RD, FAIRFIELD, CT 06824
(203) 394-8329
Mailing address
510 REEF RD, FAIRFIELD, CT 06824-6543
(203) 394-8329
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
043363
CT
332B00000X
Durable Medical Equipment & Medical Supplies
043363
CT
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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