Individual
MICHELLE BRENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
(860) 550-7515
Mailing address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9200
(860) 545-9134
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001408
CT
Other
Enumeration date
02/06/2006
Last updated
11/03/2016
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