NPI 1013793009

Camryn Debose

Practitioner Student in an Organized Health Care Education/Training Program Bridgeport, CT

Practice location

Address: 180 Fairfield Ave, Bridgeport, CT 06604-4252
Phone: (203) 394-6529
Mailing address: 65 Abner St, West Haven, CT 06516-3306

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013793009
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Sep 2023
Record last updated: 5 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.