DANIEL DE JESUS

HARTFORD, CT
NPI1851373591
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  000848)
Enumeration Date2005-11-17
Last Update Date2015-04-15
Business Address
-- DANIEL DE JESUS PAC
85 SEYMOUR ST SUITE 200
HARTFORD, CT 06106-5501
Phone number: 860-289-3375
Mailing Address
-- DANIEL DE JESUS PAC
134 GRANDVIEW AVE SUITE 101
WATERBURY, CT 06708-2507
Phone number: 203-756-8911
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