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Individual

DONNA HISCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
134 STATE ST, MERIDEN, CT 06450-3293
(203) 237-2229
(203) 686-1677
Mailing address
635 MAIN ST, ATTN: CREDENTIALING DPT, MIDDLETOWN, CT 06457-2718
(860) 347-6971
(860) 638-6601

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
E50363
CT

Other

Enumeration date
01/15/2008
Last updated
01/15/2008
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