Individual
JEREMIAH MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
39 ELM ST, SALISBURY, MA 01952-1935
(781) 576-0187
Mailing address
39 ELM ST, SALISBURY, MA 01952-1935
(781) 576-0187
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN2274400
MA
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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