Individual
JODI LYNN IACCARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1856 BOSTON POST RD, WESTBROOK, CT 06498-2101
(860) 399-0600
(860) 399-0600
Mailing address
118 WILLIAMS DR, GUILFORD, CT 06437-1401
(203) 457-9401
(203) 457-9291
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
E45850
CT
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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