Individual
MS. TONYALEE MARY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
74 OLD SUNDERLAND RD # A, MONTAGUE, MA 01351-9510
(413) 800-2990
Mailing address
74 OLD SUNDERLAND RD # A, MONTAGUE, MA 01351-9510
(413) 800-2990
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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