Individual
JALICE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 WHALLEY AVE, NEW HAVEN, CT 06515-1149
(203) 889-2691
Mailing address
24 CAMBRIDGE ST, STRATFORD, CT 06614-4711
(203) 715-1188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11278
CT
363LF0000X
Family Nurse Practitioner
Primary
11278
CT
Other
Enumeration date
11/30/2022
Last updated
01/13/2023
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