Individual
RITA FAITH MACRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
43 WOODLAND ST, HARTFORD, CT 06105-2363
(860) 793-3500
Mailing address
949 PLEASANT VALLEY RD APT 3-10, SOUTH WINDSOR, CT 06074-4220
(603) 520-7786
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
11.034159
CT
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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