Most Relevant Information
Provider Data
| NPI Number: | 1003428632 |
| Provider Name: | SHIRLEY MARIE PERRY |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | NA8195362 |
Most Important Dates
| Enumeration Date: | 08/17/2020 |
| Last Updated: | 08/17/2020 |
Provider Practice Location
131 PARK ST
MANCHESTER
CT
060405925
Practice Location Phone/Fax
| Phone: | 8605008506 |
| Fax: | 8608122098 |
Provider Mailing Location
131 PARK ST
MANCHESTER
CT
060405925
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |