Individual
JACQUELINE MARIE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2134
Mailing address
203B COW HILL RD, CLINTON, CT 06413-1175
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
12.013016
CT
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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