Individual
MRS. CHARLENE ANGELA JURGAITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMF
Contact information
Practice address
102 GRAND STREET, WATERBURY, CT 06702
(203) 755-3640
Mailing address
102 GRAND STREET, WATERBURY, CT 06702
(203) 755-3640
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/02/2009
Last updated
09/28/2010
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