Individual
ENISE N JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
676 HYDE PARK AVE, ROSLINDALE, MA 02131-4724
(617) 323-2468
Mailing address
676 HYDE PARK AVE, ROSLINDALE, MA 02131-4724
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
62441
MA
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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