Individual
MRS. LARAH BARTLETT-JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
92 MONTVALE AVE, SUITE 1400, STONEHAM, MA 02180-3647
(781) 279-7040
(781) 279-8430
Mailing address
92 MONTVALE AVE, SUITE 1400, STONEHAM, MA 02180-3647
(781) 279-7040
(781) 279-8430
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
211905
MA
Other
Enumeration date
11/09/2005
Last updated
04/05/2013
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