Individual
JENETA MAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 GEORGE ST, LOWELL, MA 01852-2228
(978) 453-5736
Mailing address
17 OTIS ST, LOWELL, MA 01852-4627
(978) 201-3912
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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