SHAVONNE LARCENIA OVERTON

NEW HAVEN, CT
NPI1922713254
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  12.011424)
Enumeration Date2023-01-20
Last Update Date2025-04-17
Business Address
SHAVONNE LARCENIA OVERTON
158 AMITY RD # 280
NEW HAVEN, CT 06515-1405
Phone number: 203-404-3463
Mailing Address
SHAVONNE LARCENIA OVERTON
PO BOX 745254
ATLANTA, GA 30374-5254
Phone number: 773-352-1515
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