Individual
EMILY JIANMING ETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3650
(860) 358-5322
(860) 358-6298
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3650
(860) 358-4805
(860) 358-6094
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
08/22/2022
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