Individual
XIOMARA RICARDO EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST # EP4-633, NEW HAVEN, CT 06510-3220
(203) 688-6545
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-6545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9605
CT
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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