Individual
JENNIFER ELLEN DEMARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
87 EDEN PARK DR, NORTH ATTLEBORO, MA 02760-2829
(508) 212-7284
Mailing address
87 EDEN PARK DR, NORTH ATTLEBORO, MA 02760-2829
(508) 212-7284
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN232714
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14140570
CAQH
—
Enumeration date
04/02/2012
Last updated
04/05/2019
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