Individual
JILLENE BONET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
764 CAMPBELL AVE STE F, WEST HAVEN, CT 06516-3786
(203) 443-9500
(203) 902-0509
Mailing address
271 SHADY HILL RD, FAIRFIELD, CT 06824-7345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9311
CT
Other
Enumeration date
08/01/2020
Last updated
03/26/2021
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