SAMARA DEJESUS
Licensed Practical Nurse
Active
Individual
NPI: 1053952283
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 40813 (CT) |
Frequently Asked Questions
NPI 1053952283 is the National Provider Identifier for SAMARA DEJESUS, a Licensed Practical Nurse provider located in Stratford, CT. This NPI was enumerated on September 29, 2019.
SAMARA DEJESUS practices at 419 BRUCE AVE, Stratford, CT 06615.
Quick Facts
- NPI
- 1053952283
- Type
- Individual
- Enumerated
- Sep 29, 2019
- Last Updated
- Sep 29, 2019
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