Ebaa A Jastaniah
Medical Practice at 160 Windermere Ave, Ellington, CT

License number
Florida 132125
Issued Date
Apr 17, 2017
Effective Date
Apr 17, 2017
Expiration Date
Jan 31, 2019
Category
Health Care
Type
Medical Doctor
Address
Address 2
4401 Windermere Ave, Ellington, CT 06029
759 Chestnut St, Springfield, MA 01199
Phone
(518) 253-8421
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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