Individual
MIRANDA SKILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
983 MAIN ST STE 1AND2, MANCHESTER, CT 06040-6018
(860) 307-8816
Mailing address
983 MAIN ST STE 1AND2, MANCHESTER, CT 06040-6018
(860) 307-8816
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
HCA.0001709
CT
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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