Individual
MRS. JESSICA PORAZINSKI MCMULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, MPH
Contact information
Practice address
960 MAIN STREET, HEALTH SERVICES, 9TH FLOOR, HARTFORD, CT 06103-1225
(860) 882-8714
Mailing address
358 MIDDLETOWN AVE, WETHERSFIELD, CT 06109-3806
(860) 436-3076
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006570
CT
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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