Individual
JAQUELINA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1256 PARK ST, STOUGHTON, MA 02072-3745
(781) 436-8366
Mailing address
1256 PARK ST, STOUGHTON, MA 02072-3745
(781) 436-8366
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14610
MA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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