Individual
SAMIRA FISAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4769
(860) 442-0711
Mailing address
725 NORTONTOWN RD, GUILFORD, CT 06437-4728
(203) 747-9858
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9774
CT
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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