Individual
AYANA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
93 ORCHARD HEIGHTS DR, HAMDEN, CT 06514-3313
(917) 474-6424
Mailing address
93 ORCHARD HEIGHTS DR, HAMDEN, CT 06514-3313
(917) 474-6424
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
38049
CT
164W00000X
Licensed Practical Nurse
Primary
LN101441
MA
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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