Individual
MISS JESSICA SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 BANKS RD, SIMSBURY, CT 06070-2302
(860) 604-9546
Mailing address
8 BANKS ROAD, SIMSBURY, CT 06070
(860) 604-9546
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MA
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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