AMANDA LYDIA ROUSSEAU

FARMINGTON, CT
NPI1316626740
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-07-13
Last Update Date2023-10-31
Business Address
AMANDA LYDIA ROUSSEAU PA-C
263 FARMINGTON AVE
FARMINGTON, CT 06030-1814
Phone number: 860-679-2000
Mailing Address
AMANDA LYDIA ROUSSEAU PA-C
623 FARMINGTON AVENUE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2000