Individual
CANDICE ROUNTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 ASYLUM AVE, SUITE 4309 A, HARTFORD, CT 06105-1770
(860) 714-4088
Mailing address
1000 ASYLUM AVE, SUITE 4309 A, HARTFORD, CT 06105
(860) 714-4088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3638
CT
Other
Enumeration date
06/03/2016
Last updated
07/21/2016
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