Individual
MARENA JOSEPHINE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 329-5253
Mailing address
101 LIMNER CIR, ROCKY HILL, CT 06067-3247
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
11/12/2021
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