Individual
JACQUELYN PENNINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 NORTH ST, MIDDLEBORO, MA 02346-1630
(508) 889-7611
Mailing address
115 NORTH ST, MIDDLEBORO, MA 02346-1630
(508) 889-7611
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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