Individual
MS. AMBER RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 634-3166
Mailing address
223 MAIDEN LN, DURHAM, CT 06422-2011
(203) 634-3166
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
39756
CT
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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