Individual
MS. KRISTINA ROSE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
76 NEW BRITAIN AVE, HARTFORD, CT 06106-3305
(860) 547-0970
Mailing address
9 GARDNER ACRES RD, NORWICH, CT 06360-4024
(860) 710-5074
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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