JAKE PARKER WALLACH

DANBURY, CT
NPI1730982869
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-01
Last Update Date2025-04-08
Business Address
JAKE PARKER WALLACH
70 MAIN ST
DANBURY, CT 06810-6099
Phone number: 203-739-8100
Mailing Address
JAKE PARKER WALLACH
68 PEPPERIDGE DR
SOUTHINGTON, CT 06489-4416
Phone number: 860-919-4994
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