Individual
HALEY BRYN ETSKOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0002
(860) 679-3467
Mailing address
57 HARDWICK RD, ASHLAND, MA 01721-1491
(978) 270-6430
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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