Dejesus, Samara

Dejesus, Samara is an sole proprietor health care provider with primary practice located at 419 Bruce Ave , Stratford CT 06615-5525. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Dejesus, Samara can be contacted via phone (203) 923-4211.

Contact Information

Primary practice address
419 Bruce Ave Stratford CT 06615-5525
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 40813 Connecticut

Profile Details

NPI number 1053952283
LBN Legal business name Dejesus, Samara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2019
Last updated Sep 29th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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