Individual
JEANINE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
326 NICHOLS RD, FITCHBURG, MA 01420-1914
(197) 887-8100
Mailing address
43 THE CLEARING ST, LUNENBURG, MA 01462-2510
(978) 855-3623
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2260382
MA
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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