Individual
JESSY CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
995 DAY HILL RD, WINDSOR, CT 06095-1722
(860) 731-5522
(860) 731-5536
Mailing address
995 DAY HILL RD, WINDSOR, CT 06095-1722
(860) 731-5522
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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