Individual
SANDRA A MESQUITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 DIXWELL AVE, NEW HAVEN, CT 06511-3456
(203) 503-3420
Mailing address
294 HOWARD AVE, NEW HAVEN, CT 06519-2626
(203) 772-2253
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
028618
CT
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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