Individual
MICHELLE LYNN DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1183 NEW HAVEN RD, NAUGATUCK, CT 06770-5033
(203) 723-7884
(203) 723-2946
Mailing address
1183 NEW HAVEN RD, NAUGATUCK, CT 06770-5033
(203) 723-7884
(203) 723-2946
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1199
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1199
PODIATRY LICENSE
CT
Enumeration date
04/12/2022
Last updated
09/02/2025
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