Individual
MRS. KIM MAURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7 CLINIC DR, NORWICH, CT 06360-2915
(860) 887-6408
(860) 887-6592
Mailing address
7 CLINIC DR, NORWICH, CT 06360-2915
(860) 887-6408
(860) 887-6592
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
002787
CT
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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