Individual
DJINNY LOVE LEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 OLD COLONY AVE APT 645, SOUTH BOSTON, MA 02127-7918
(786) 970-2030
Mailing address
235 OLD COLONY AVE APT 645, SOUTH BOSTON, MA 02127-7918
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN10025591
MA
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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