Individual
LEAYDA JOURDAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 PEARL ST, STOUGHTON, MA 02072-2334
(857) 472-2105
Mailing address
102 PEARL ST, STOUGHTON, MA 02072-2334
(857) 472-2105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN279487
MA
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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