Individual
ZAKIYA SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
245 WHALLEY AVE, NEW HAVEN, CT 06511-3254
(203) 937-2502
Mailing address
130 CELENTANO DR, NAUGATUCK, CT 06770-5215
(203) 645-7954
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
36827
CT
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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