Individual
SHAWNA MARIE JOVANOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 CONNORS ST, GARDNER, MA 01440-2637
(978) 878-8100
Mailing address
19 COTTAGE LN, TEMPLETON, MA 01468-1556
(978) 424-7264
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN69128
MA
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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