Individual
JASMINE PANGELINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2 GRANITE ST, WORCESTER, MA 01604-5428
(508) 552-7672
Mailing address
2 GRANITE ST, WORCESTER, MA 01604-5428
(508) 552-7672
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN2334237
MA
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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