Individual
JACQUELINE ANTEPENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4799
(401) 273-7100
Mailing address
176 REYNOLDS AVE, REHOBOTH, MA 02769-3015
(508) 223-7611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2355554
MA
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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