Individual
JACQUELINE FUSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
124 SIMSBURY RD, AVON, CT 06001-3743
(971) 777-5331
Mailing address
124 SIMSBURY RD # 1-J, AVON, CT 06001-3743
(971) 777-5331
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
822
CT
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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