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Individual

JEMILAT JOY AZEEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
270 FARMINGTON AVE, FARMINGTON, CT 06032-1909
(860) 677-5570
Mailing address
936 RED WOLF CT, DACULA, GA 30019-7429
(404) 771-9236

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
8929
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8929
CT

Other

Enumeration date
07/10/2020
Last updated
08/31/2020
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