Individual
MR. JEFFREY AUGUST MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
22 FRONT ST, FALL RIVER, MA 02721-4302
(508) 676-1307
Mailing address
PO BOX 41094, PROVIDENCE, RI 02940
(508) 965-4617
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN57806
MA
Other
Enumeration date
04/10/2022
Last updated
04/10/2022
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