LISSY DAVIS POULOSE

MONROE, CT
NPI1790937670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CT  003902)
Enumeration Date2008-10-22
Last Update Date2022-01-21
Business Address
Mrs. LISSY DAVIS POULOSE APRN
324 ELM ST STE 202B
MONROE, CT 06468-2284
Phone number: 203-880-5335
Mailing Address
Mrs. LISSY DAVIS POULOSE APRN
324 ELM ST STE 202B
MONROE, CT 06468-2284
Phone number: 203-880-5335
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