Individual
JONATHAN SELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
100 CHURCH ST S STE A230, NEW HAVEN, CT 06519-1703
(203) 737-2099
Mailing address
PO BOX 413, BOOKER, TX 79005-0413
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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