Individual
JENNIFER SARA KINSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 MONROE LN, GROTON, CT 06340-2434
(619) 522-4501
Mailing address
22 MONROE LN, GROTON, CT 06340-2434
(619) 522-4501
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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