Organization
JANE WAGEMA-JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE WAGEMA-JOHNSON NP (GERONTOLOGICAL NURSE PRACTIONER)
(978) 455-3547
Entity
Organization
Contact information
Practice address
39 LAUREN WAY, LOWELL, MA 01854-1484
(978) 455-3547
Mailing address
39 LAUREN WAY, LOWELL, MA 01854-1484
(978) 455-3547
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
242191
MA
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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