SearchConnecticut390200000X

Jessica Shore

NPI 1184162166 · on the registry since 2017 · sole proprietor

Practice

Address
8 Banks Rd
Simsbury, CT 06070
Phone
(860) 604-9546

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-02-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut