Individual
MAURA MEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 343-7724
Mailing address
30 TURNOR AVE, HAMDEN, CT 06517
(203) 909-0147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
148456
CT
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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