Individual
JACQUELYN A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 FARRELL ST, QUINCY, MA 02169-1807
(508) 830-3444
Mailing address
15 FARRELL ST, QUINCY, MA 02169-1807
(508) 830-3444
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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