SHADY TAVERAS

BRIDGEPORT, CT
NPI1730501727
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: CT  33715)
Enumeration Date2014-01-10
Last Update Date2014-01-10
Business Address
-- SHADY TAVERAS LPN
425 GRANT ST
BRIDGEPORT, CT 06610-3222
Phone number: 203-781-4600
Mailing Address
-- SHADY TAVERAS LPN
1 LONG WHARF DR SUITE321
NEW HAVEN, CT 06511-5991
Phone number: 203-781-4600
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