Individual
JACALYN NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN LSW CNS RDT
Contact information
Practice address
1193 SEA ST, MANET COMMUNITY HEALTH CENTER, QUINCY, MA 02169
(617) 471-8683
(617) 773-1625
Mailing address
110 W SQUANTUM ST, MANET COMMUNITY HEALTH CENTER INC, NO QUINCY, MA 02171-2122
(617) 376-3000
(617) 774-1906
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
728
MA
Other
Enumeration date
12/27/2006
Last updated
11/17/2011
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