Individual
JOHNNY MABRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 WOOLSEY ST, NEW HAVEN, CT 06513-3718
(203) 508-5369
Mailing address
51 WOOLSEY ST, NEW HAVEN, CT 06513-3718
(203) 508-5369
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CT
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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