Clementine A Mainsah CRNA

NPI 1578799623 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1578799623
Gender Female
Enumeration Date 06/03/2009
Last Updated 01/20/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
365 MONTAUK AVE
NEW LONDON CT, 06320-4700, US
Phone (781) 407-7713
Fax (781) 407-0998
Business Location
690 CANTON ST
SUITE 325
WESTWOOD MA, 02090-2321, US
Phone (781) 407-7713
Fax (781) 407-0998
Toxanomy
Taxonomy Code 367500000X
License State Connecticut
License Number 077320
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According to our database, Clementine A Mainsah CRNA NPI is 1578799623, taxonomy code is 367500000X and license number is 077320, license state is located at Connecticut. Clementine A Mainsah CRNA physically located at 365 Montauk Ave, New London CT, 06320-4700. NPI Number Clementine A Mainsah CRNA has the Individual type.

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1578799623 NPI number is provided on an as is basis without warranty of any kind. 1578799623 is maintained by the National Plan & Provider Enumeration System. The contents of Clementine A Mainsah CRNA are for informational purposes only.