Individual
JILLIAN BRIDGETTE LODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 634-7071
Mailing address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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