Individual
JACQUELINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(617) 323-7700
Mailing address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT10792
MA
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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