Individual
JAMIE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 CASSOTTA LN, SUFFIELD, CT 06078-1382
(860) 836-9980
Mailing address
13 CASSOTTA LN, SUFFIELD, CT 06078-1382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013382
CT
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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