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Individual

MS. JENNEL MARIE VENDOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
RN281313
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN281313
MA

Other

Enumeration date
10/09/2012
Last updated
10/21/2021
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