Individual
JARESE ISIAH EDDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 MAIN ST, MIDDLETOWN, CT 06457-2732
(860) 347-6971
(860) 343-7379
Mailing address
88 MONROE ST, HARTFORD, CT 06114-1751
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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