Individual
MISS JACQUELYN ANN STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADCA
Contact information
Practice address
157 GREEN ST, JAMAICA PLAIN, MA 02130-2667
(617) 983-5800
(617) 983-5840
Mailing address
157 GREEN ST, JAMAICA PLAIN, MA 02130-2667
(617) 983-5800
(617) 983-5840
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/25/2010
Last updated
09/10/2010
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