Individual
JAMILLE ANN RANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
789 HOWARD AVE # FMP316, NEW HAVEN, CT 06519-1304
(203) 737-7618
Mailing address
789 HOWARD AVE # FMP316, NEW HAVEN, CT 06519-1304
(203) 785-7671
(203) 737-7618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3682
CT
Other
Enumeration date
09/21/2016
Last updated
09/22/2022
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