Individual
JACQUELINE ELYSE MARONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
92 MONTVALE AVE STE 4200, STONEHAM, MA 02180-3655
(781) 451-0072
Mailing address
92 MONTVALE AVE STE 4200, STONEHAM, MA 02180-3655
(781) 451-0072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2284774
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2284774
MA
Other
Enumeration date
05/23/2013
Last updated
03/08/2022
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