Individual
JEAN ELISE MEDEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 N MAIN ST, BRISTOL, CT 06010-8122
(888) 793-3500
Mailing address
10 N MAIN ST, BRISTOL, CT 06010-8122
(888) 793-3500
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
168270
CT
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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