Individual
KERRYANN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 HIGH PATH RD, WINDSOR, CT 06095-4131
(347) 728-7135
Mailing address
148 HIGH PATH RD, WINDSOR, CT 06095-4131
(347) 728-7135
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
HCA.0002265
CT
376J00000X
Homemaker
HCA.0002265
CT
Other
Enumeration date
10/02/2024
Last updated
10/03/2024
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