Individual
JESSICA LYNNE DECRESCENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
80 LINDAS RUN, STRATFORD, CT 06614-3270
(203) 383-0882
Mailing address
80 LINDAS RUN, STRATFORD, CT 06614-3270
(203) 383-0882
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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