Individual
AMANDA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 TRACEY ANN CT, NAUGATUCK, CT 06770-3465
(203) 525-6919
Mailing address
35 TRACEY ANN CT, NAUGATUCK, CT 06770-3465
(203) 525-6919
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6413
CT
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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