Individual
JACLYN ROSE NEVEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
164 OTROBANDO AVE, NORWICH, CT 06360-2116
(860) 886-0023
(860) 886-0024
Mailing address
164 OTROBANDO AVE, NORWICH, CT 06360-2116
(860) 886-0023
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4466
CT
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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