Individual
DANIELLE KIREI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
Mailing address
15 LANTERN DR, SEYMOUR, CT 06483-2228
12032189304
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3951
CT
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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