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Individual

DR. JEANNE FUQUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ND LAC

Contact information

Practice address
111 MAIN ST STE B, WETHERSFIELD, CT 06109-3125
(860) 470-6950
(203) 772-3508
Mailing address
111 MAIN ST STE B, WETHERSFIELD, CT 06109-3125
(860) 470-6950
(203) 772-3508

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
649
CT
175F00000X
Naturopath
Primary
000356
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171100000X
TAXONOMY CODE
01
649
ACUPUNCTURE LICENSE
CT
Enumeration date
03/12/2007
Last updated
02/11/2025
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