Individual
LEAH TRICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 BREWSTER RD, BRISTOL, CT 06010-5161
(860) 585-3000
Mailing address
41 BREWSTER RD, BRISTOL, CT 06010-5161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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