Individual
JENNIFER LEE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 MAIN ST, WILLIMANTIC, CT 06226-2111
(860) 450-9237
Mailing address
1003 MAIN ST, WILLIMANTIC, CT 06226-2111
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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