Individual
JONATHAN CHARLESTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2080 SILAS DEANE HWY FL 3, ROCKY HILL, CT 06067-2334
(860) 257-7448
Mailing address
4 LENOX AVE, STRATFORD, CT 06615-5606
(203) 526-6577
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2166
CT
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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