Individual
QUINCY EDWIGE JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3746
(860) 644-4241
Mailing address
16 CHRISTOPHER DR, ENFIELD, CT 06082-5759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0017118
CT
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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