Individual
RACHEL ANNE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 STATE ST, NEW HAVEN, CT 06511-3926
(203) 865-2245
Mailing address
921 STATE ST, NEW HAVEN, CT 06511-3926
(203) 865-2245
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010497
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2010
Last updated
08/03/2022
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