Individual
JALESSA COOPWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 TRUMAN ST, NEW HAVEN, CT 06519-2013
(475) 339-9968
Mailing address
81 TRUMAN ST, NEW HAVEN, CT 06519-2013
(475) 339-9968
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
163WH0200X
CT
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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