Individual
KHALEA ELIZABETH JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
296 MENLO ST, BROCKTON, MA 02301-5845
(774) 223-1985
Mailing address
296 MENLO ST, BROCKTON, MA 02301-5845
(774) 223-1985
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07221845
MA
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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