Individual
JEFFREY BLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
22101 TOWN WALK DR, HAMDEN, CT 06518-3759
(203) 767-4666
Mailing address
22101 TOWN WALK DR, HAMDEN, CT 06518-3759
(203) 767-4666
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44164
CT
Other
Enumeration date
08/09/2025
Last updated
08/09/2025
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