Individual
MOLLY RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 FARMINGTON AVE, FARMINGTON, CT 06032-1916
(860) 674-1824
Mailing address
230 FARMINGTON AVE, FARMINGTON, CT 06032-1916
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
004643
CT
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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