Individual
MELINDA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6696
(508) 894-3503
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6696
(508) 894-3503
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN69748
MA
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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