Tezeta Gudeta Mammo

NPI 1922282342 - Social Worker - 1041C0700X

NPI Details
NPI 1922282342
Gender Female
Enumeration Date 12/20/2007
Last Updated 07/14/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
428 COLUMBUS AVE
NEW HAVEN CT, 06519-1233, US
Phone (203) 503-3290
Fax (203) 503-3066
Business Location
428 COLUMBUS AVE
NEW HAVEN CT, 06519-1233, US
Phone (203) 503-3290
Fax (203) 503-3066
Toxanomy
Taxonomy Code 1041C0700X
License State Connecticut
License Number 7530
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According to our database, Tezeta Gudeta Mammo NPI is 1922282342, taxonomy code is 1041C0700X and license number is 7530, license state is located at Connecticut. Tezeta Gudeta Mammo physically located at 428 Columbus Ave, New Haven CT, 06519-1233. NPI Number Tezeta Gudeta Mammo has the Individual type.

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1922282342 NPI number is provided on an as is basis without warranty of any kind. 1922282342 is maintained by the National Plan & Provider Enumeration System. The contents of Tezeta Gudeta Mammo are for informational purposes only.