Stnques T Jefferson
Health Educator in New Haven, CT. Individual provider (NPI-1).
NPI number1881349579
StatusActive
Last updated in NPPESFeb 21, 2022
Details
- NPI
- 1881349579
- Entity type
- Individual (NPI-1)
- Name
- Stnques T Jefferson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2022
- Certification date
- Feb 21, 2022
- Last updated
- Feb 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174H00000X | Health Educator | – | – | Yes |
Practice location
157 Church St Ste 1921New Haven, CT 06510-2100
Phone 475-655-3125
Mailing address
173 Norton StNew Haven, CT 06511-4062
Phone 203-997-1457
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