Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 455 | CT |
NPI | 1073817466 |
---|---|
Provider Name | Dr. Sharmilee Jayachandran |
First Address | Stratford, CT 06614-8439 |
Second Address | Middlebury, CT 06762-2562 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2010 |
Last Update Date | 11/05/2011 |