KIMBERLY L BELLAVANCE

HARTFORD, CT
NPI1962772939
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CT  2714)
Enumeration Date2012-01-09
Last Update Date2012-02-13
Business Address
-- KIMBERLY L BELLAVANCE MPAS
114 WOODLAND ST SURGERY DEPT.
HARTFORD, CT 06105-1208
Phone number: 860-714-4694
Mailing Address
-- KIMBERLY L BELLAVANCE MPAS
1000 ASYLUM AVE SUITE 2109A
HARTFORD, CT 06105-1770
Phone number: 860-714-6581
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