Millicent M Malcolm LLC

NPI #1811037690 in Middlefield, Connecticut

Provider Information

NPI Number
1811037690
Entity Type
Organization
Organization Name
Millicent M Malcolm LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Feb 8, 2007
Last Updated
Nov 28, 2011

Practice Location

Address
369 BAILEYVILLE RD
ZIP Code
06455
Phone
(860) 349-1116

Authorized Official

Name
MRS. MILLICENT MARIE MALCOLM, APRN
Title
OWNER
Phone
(860) 614-8154

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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