Individual
JESSICA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK ST, SOUTH PAVILION 6-2, NEW HAVEN, CT 06510-3220
(203) 688-2341
Mailing address
20 YORK ST, SOUTH PAVILION 6-2, NEW HAVEN, CT 06510-3220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2752
CT
Other
Enumeration date
11/07/2010
Last updated
01/08/2014
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