Individual
SHIRLEY MARIE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 PARK ST, MANCHESTER, CT 06040-5925
(860) 500-8506
(860) 812-2098
Mailing address
131 PARK ST, MANCHESTER, CT 06040-5925
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA8195362
CT
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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