Individual
MRS. SREE RANI AOVUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4083 MAIN ST, BRIDGEPORT, CT 06606-2302
(203) 374-2819
Mailing address
4083 MAIN ST, BRIDGEPORT, CT 06606-2302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0010495
CT
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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