Individual
JEANNE LAURENTINE KIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 FOREST ST APT 2, LOWELL, MA 01851-4939
(781) 812-5268
Mailing address
100 FOREST ST APT 2, LOWELL, MA 01851-4939
(781) 812-5268
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2290050
MA
Other
Enumeration date
12/28/2013
Last updated
12/28/2013
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