Most Relevant Information
Provider Data
| NPI Number: | 1003546318 |
| Provider Name: | JESSICA PLOUFFE MA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/10/2022 |
| Last Updated: | 06/10/2022 |
Provider Practice Location
675 MAIN ST
MIDDLETOWN
CT
064572732
Practice Location Phone/Fax
| Phone: | 8603476971 |
| Fax: |
Provider Mailing Location
675 MAIN ST
MIDDLETOWN
CT
064572732
Provider Mailing Phone/Fax
| Phone: | 8603476971 |
| Fax: |