Individual
FABIENNE JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
263 FARMINGTON AVE # LG065, FARMINGTON, CT 06030-0001
(860) 679-4988
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2147
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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