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Patra Mariam Childress
Student in an Organized Health Care Education/Training Program in Danbury, Connecticut
NPI 1235692377

Patra Mariam Childress is a Student in an Organized Health Care Education/Training Program based in Danbury, CT. Patra Mariam Childress practices in Danbury, CT. The NPI Number for Patra Mariam Childress is 1235692377 and holds a License No. (Connecticut).

The current practice location address for Patra Mariam Childress is 24 Hospital Ave, Danbury, CT and can be reached out via phone at 203-739-0000.

Location: 24 Hospital Ave, Danbury, CT, 06810-6077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235692377
Provider Name
Patra Mariam Childress
Credential
Provider Entity Type
Individual
Gender
Female
Address
24 Hospital Ave, Danbury, CT, 06810-6077
Phone Number
203-739-0000
Fax Number
Provider Enumeration Date
04/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24 Hospital Ave
City
Danbury
State
Connecticut
Zip
06810-6099
Phone Number
203-739-0000
Fax Number
person
Provider Business Mailing Address Details
Address
24 Hospital Ave
City
Danbury
State
Connecticut
Zip
06810-6099
Phone Number
203-739-0000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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