TRACY HAWTHORNE

WILLIMANTIC, CT
NPI1528046646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  001685)
Enumeration Date2006-01-09
Last Update Date2009-08-12
Business Address
Mrs. TRACY HAWTHORNE PA
112 MANSFIELD AVE
WILLIMANTIC, CT 06226-2045
Phone number: 860-456-9116
Mailing Address
Mrs. TRACY HAWTHORNE PA
112 MANSFIELD AVE
WILLIMANTIC, CT 06226-2045
Phone number: 860-456-9116