Search › Connecticut › 101YA0400X
Jazzmine Carrillo
NPI 1790546059 · on the registry since 2024 · sole proprietor
Practice
- Address
- 85 Crouch St Apt 15
Groton, CT 06340 - Phone
- (860) 514-5695
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101Y00000X
101YM0800X - Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-23
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