Individual
JILL RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
340 MAPLE ST, SUITE 410, MARLBOROUGH, MA 01752-3200
(508) 624-0304
Mailing address
84 SOUTH ST, SHREWSBURY, MA 01545-3028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2284544
MA
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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