Individual
SARA A JENTOFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 667-9920
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 667-9920
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN-2383955
MA
Other
Enumeration date
10/09/2023
Last updated
12/14/2023
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