Individual
JACQUELINE MMASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 ICELAND RD, ANDOVER, MA 01810-2969
(617) 652-1689
Mailing address
5 ICELAND RD, ANDOVER, MA 01810-2969
(617) 652-1689
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN10002074
MA
Other
Enumeration date
11/18/2015
Last updated
06/06/2024
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