Individual
JESSICA INGALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 COURT ST, MIDDLEBURY, VT 05753-8986
(802) 388-9573
Mailing address
263 COURT ST, MIDDLEBURY, VT 05753-8986
(802) 388-9573
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
003.0120472
VT
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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