Search › Connecticut › 164W00000X
Samara Dejesus
NPI 1053952283 · on the registry since 2019 · sole proprietor
Practice
- Address
- 419 Bruce Ave
Stratford, CT 06615 - Phone
- (203) 923-4211
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut