Individual
MS. RENATA JEWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
39 WESTPORT RD, WORCESTER, MA 01605-1051
(774) 242-6246
Mailing address
19 TACOMA ST, GREAT BROOK VALLEY HEALTH CENTER, WORCESTER, MA 01605
(508) 852-1805
(508) 853-8593
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN284795
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1301071
GROUP NUMBER
MA
Enumeration date
10/07/2009
Last updated
10/07/2009
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