Individual
KAYLA ST AMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
86 NEW LONDON TPKE, NORWICH, CT 06360-2616
(860) 889-6967
Mailing address
35 TIFT ST, JEWETT CITY, CT 06351-1821
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
7510
CT
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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