Individual
JENNIFER JOSEN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 FOREST ST, STAMFORD, CT 06901-1877
(203) 363-0627
Mailing address
11 FOREST ST, STAMFORD, CT 06901-1877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014633
CT
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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