Individual
KIMBERLY O'HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 HOPRIVER RD, BOLTON, CT 06043-7411
(860) 268-9318
Mailing address
255 HOPRIVER RD, BOLTON, CT 06043-7411
(860) 268-9318
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
3789
CT
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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