Individual
MR. JEROME C HAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 DANIELS AVE, BRIDGEPORT, CT 06606-1513
(860) 558-9143
Mailing address
215 DANIELS AVE, BRIDGEPORT, CT 06606-1513
(860) 558-9143
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/10/2014
Last updated
08/12/2014
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