Individual
JODIE M RICHETELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 W SHEPARD AVE, HAMDEN, CT 06514-1012
(203) 500-8318
Mailing address
445 W SHEPARD AVE, HAMDEN, CT 06514-1012
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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