Pink Mermaid LLC
NPI #1619212362 in Groton, Connecticut
Provider Information
- NPI Number
- 1619212362
- Entity Type
- Organization
- Organization Name
- Pink Mermaid LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Dec 6, 2012
- Last Updated
- May 16, 2013
Practice Location
- Address
- 1313 GOLD STAR HWY
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-2717
- Phone
- (860) 865-0825
Authorized Official
- Name
- MRS. CAROL ANN RYALL
- Title
- MASTECTOMY FITTER
- Phone
- (860) 865-0825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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