Individual
GIFTY QUARM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
Mailing address
102 DEPOT ST, BROAD BROOK, CT 06016-9591
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
162381
CT
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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