Individual
MAKALA R JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 FRANCIS DR APT 1, RANDOLPH, MA 02368-3309
(718) 908-1784
Mailing address
26 FRANCIS DR APT 1, RANDOLPH, MA 02368-3309
(718) 908-1784
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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