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Individual

JESSICA L PALOZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
515 MIDDLE TPKE W, MANCHESTER, CT 06040-3816
(860) 533-0990
Mailing address
164 WILDWOOD RD, TOLLAND, CT 06084-2164
(860) 604-0357

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
004659
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2268453
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881901742
CT
Enumeration date
09/13/2010
Last updated
01/07/2022
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