Johnisha Keitazulu
NPI #1396636577 in New Haven, Connecticut
Provider Information
- NPI Number
- 1396636577
- Entity Type
- Individual
- Name
- Johnisha Keitazulu
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health
- Enumeration Date
- Jul 14, 2025
- Last Updated
- Jul 14, 2025
Practice Location
- Address
- 55 OAK RIDGE DR APT 60
- City
- New Haven
- State
- Connecticut
- ZIP Code
- 06513-1176
- Phone
- (203) 909-8564
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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Organizations
| Provider Name | |
|---|---|
| Yale New Haven Health at Home, Inc. |
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