Individual
JILL TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
39 PINE TREE LN, SOUTH WINDSOR, CT 06074-3216
(860) 978-5243
Mailing address
39 PINE TREE LANE, SOUTH WINDSOR, CT 06074
(860) 978-5243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
101086
CT
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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