Individual
JANNELLE SEVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3815
(203) 852-2000
Mailing address
83 MAIN ST APT 1, NORWALK, CT 06851-4751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
210319
CT
Other
Enumeration date
08/09/2025
Last updated
08/09/2025
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