Individual
SHAMYRAH CODLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 BRIDGEPORT AVE, MILFORD, CT 06460-3937
(475) 422-5420
Mailing address
1300 CAPITOL AVE APT A, BRIDGEPORT, CT 06606-6200
(203) 923-7648
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
CT
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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