Individual
JAILAWU BEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
76 MOREHOUSE ST, BRIDGEPORT, CT 06605-3298
(401) 743-5898
Mailing address
76 MOREHOUSE ST, BRIDGEPORT, CT 06605-3298
(401) 743-5898
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
N905551
CT
171400000X
Health & Wellness Coach
—
CT
Other
Enumeration date
03/28/2024
Last updated
04/10/2024
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