Individual
JEREMY SUBERVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 ALLEN AVE, LYNN, MA 01902-6340
(781) 513-6931
Mailing address
146 ALLEN AVE, LYNN, MA 01902-6340
(781) 513-6931
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MA
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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