Individual
JACLYN GILGALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8200
Mailing address
53 WILSON AVE, MERIDEN, CT 06450-6915
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
7087
CT
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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