SearchConnecticut374J00000X

Shadae Jenkins

NPI 1700340080 · on the registry since 2019 · sole proprietor

Practice

Address
235 Collins St Apt 3b
Hartford, CT 06105
Phone
(860) 814-8601

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-01-30

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