Individual
JENNIE VAUGHAN HOLLYDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 254-1271
(617) 787-7668
Mailing address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 254-1271
(617) 787-7668
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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