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Individual

MS. CERISE F GARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA/HM/COMPANION

Contact information

Practice address
404 EDGEWOOD AVE, NEW HAVEN, CT 06511-4014
(203) 589-0081
Mailing address
404 EDGEWOOD AVE, NEW HAVEN, CT 06511-4014
(203) 589-0081

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
NA9988838
CT
376J00000X
Homemaker
Primary
#HCA.0000529
CT

Other

Enumeration date
03/21/2011
Last updated
03/21/2011
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