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Individual

JENNIFER ANN VALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
800 HOWARD AVE FL 1, NEW HAVEN, CT 06519-1369
(203) 785-2579
Mailing address
55 COTTAGE PL, STRATFORD, CT 06614-5106
(203) 610-3885

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
7796
CT
363LF0000X
Family Nurse Practitioner
Primary
7796
CT

Other

Enumeration date
08/21/2018
Last updated
09/19/2018
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