Individual
JEAN RONY MESALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 REYNOLDS AVE, RANDOLPH, MA 02368
(321) 914-5265
Mailing address
8 REYNOLDS AVE, RANDOLPH, MA 02368-3740
(321) 914-5265
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN95997
MA
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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