Individual
JENNA NICOLE PINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 STANLEY ST, NEW BRITAIN, CT 06050-2439
(860) 832-3086
Mailing address
115 MAPLE AVE, NORTH HAVEN, CT 06473-2605
(203) 430-6582
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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