Individual
STNQUES T JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 CHURCH ST STE 1921, NEW HAVEN, CT 06510-2100
(475) 655-3125
Mailing address
173 NORTON ST, NEW HAVEN, CT 06511-4062
(203) 997-1457
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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