Individual
MRS. MIRALDA GUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
172 W MAIN ST, MERIDEN, CT 06451-4104
(203) 235-6305
(203) 235-0244
Mailing address
320 MARION AVE, PLANTSVILLE, CT 06479-1407
(860) 628-0899
(203) 235-0244
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2916
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2916
PHARM TEC
CT
Enumeration date
01/19/2007
Last updated
07/08/2007
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