Individual
STEPHANY JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
79 OAKLAND STREET, APT 2, MALDEN, MA 02148-6522
(781) 354-9016
Mailing address
79 OAKLAND STREET, APT 2, MALDEN, MA 02148-6522
(781) 354-9016
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2294385
MA
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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