Individual
JESSIE MARCOULIER-GLADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3000
Mailing address
690 N COLONY ST UNIT 13, MERIDEN, CT 06450-2358
(413) 297-6918
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7991
CT
Other
Enumeration date
10/10/2018
Last updated
11/30/2018
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