Individual
JACQUELINE ROCHEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
365B CHANDLER ST, TEWKSBURY, MA 01876-2838
(978) 979-6061
Mailing address
365B CHANDLER ST, TEWKSBURY, MA 01876-2838
(978) 979-6061
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG06200210
MA
Other
Enumeration date
08/01/2020
Last updated
08/01/2020
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