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Individual

DR. JESSICA VITAL-CARONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-1838
(203) 688-4131
Mailing address
296 PINE CONE LN, LUDLOW, MA 01056-1379
(413) 297-4019
(203) 688-4131

Taxonomy

Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
053653
NY
1835P0200X
Pediatric Pharmacist
Primary
PCT.0010770
CT
1835P0200X
Pediatric Pharmacist
PH27454
MA

Other

Enumeration date
06/04/2019
Last updated
06/04/2019
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