SHAHANA LEE THERIAULT

HAMDEN, CT
NPI1114322153
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  3231)
Enumeration Date2014-11-04
Last Update Date2024-10-09
Business Address
SHAHANA LEE THERIAULT PA-C
2416 WHITNEY AVE FL 1
HAMDEN, CT 06518-3248
Phone number: 203-407-3550
Mailing Address
SHAHANA LEE THERIAULT PA-C
2408 WHITNEY AVE
HAMDEN, CT 06518-3209
Phone number: 203-626-0160
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