Individual
JOHANE JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
680 E MAIN ST, STAMFORD, CT 06901-2113
(929) 417-6053
Mailing address
2408 CLARENDON RD APT 4C, BROOKLYN, NY 11226-6295
(929) 417-6053
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
HCA.0002609
CT
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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