Individual
MS. JERICA ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
56 PRINCESS RD, SPRINGFIELD, MA 01129-1819
(413) 378-8898
Mailing address
56 PRINCESS RD, SPRINGFIELD, MA 01129-1819
(413) 378-8898
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN93047
MA
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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