Individual
JESSICA NICOLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 MIDDLE RD, PRESTON, CT 06365-8207
(443) 262-5898
Mailing address
29 MIDDLE RD, PRESTON, CT 06365-8207
(443) 262-5898
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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