Individual
JACLYN MARIE MOLLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
89 LALLY FARM DR, HANOVER, MA 02339-1255
(781) 799-6830
Mailing address
89 LALLY FARM DR, HANOVER, MA 02339-1255
(781) 799-6830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2350456
MA
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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