Individual
ROSE M JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
133 MALDEN ST, MALDEN, MA 02148-6518
(781) 864-0440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2265520
MA
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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