Individual
JANNELYS CRUZ FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 W BOYLSTON ST, WEST BOYLSTON, MA 01583-1784
(508) 213-3355
Mailing address
115 PENNACOOK DR, LEOMINSTER, MA 01453-4583
(978) 467-6538
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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