Individual
MS. JODIE MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
387 QUARRY ST, SUITE 100, FALL RIVER, MA 02723-1025
(508) 679-8111
(508) 674-4286
Mailing address
387 QUARRY ST, SUITE 100, FALL RIVER, MA 02723-1025
(508) 679-8111
(508) 674-4286
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN51966
MA
Other
Enumeration date
08/02/2011
Last updated
01/04/2013
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