Individual
MRS. ALICIA PATRICE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
237 HAMILTON ST, 205, HARTFORD, CT 06106-2983
(860) 578-1300
Mailing address
60 SUNRISE CIR, NEWINGTON, CT 06111-3366
(860) 796-3581
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
038163706
CT
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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