SHANE HAM

HARTFORD, CT
NPI1255007191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: CT  042537)
Enumeration Date2021-08-20
Last Update Date2021-08-20
Business Address
SHANE HAM
999 ASYLUM AVE STE 502
HARTFORD, CT 06105-2475
Phone number: 860-731-5522
Mailing Address
SHANE HAM
2 WATERSIDE XING STE 401
WINDSOR, CT 06095-1588
Phone number: 860-731-5522
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