Individual
SHADANE M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
999 ASYLUM AVE STE 502, HARTFORD, CT 06105-2475
(860) 731-5522
(860) 731-5536
Mailing address
2 WATERSIDE XING STE 401, WINDSOR, CT 06095-1588
(860) 697-3351
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128453
CT
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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