Individual
MISS JACQUELINE RENEE MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
148 WARREN ST, LOWELL, MA 01852
(978) 452-1736
(978) 452-6625
Mailing address
6 SHEDD RD, NORTH BILLERICA, MA 01862
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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