Individual
MS. NAYAMKA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 2ND ST, HAMDEN, CT 06514-4710
(203) 307-0766
Mailing address
305 MILL ROCK RD, HAMDEN, CT 06517-3329
(203) 307-0766
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
200345Y13
CT
Other
Enumeration date
04/10/2021
Last updated
04/10/2021
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