Individual
MRS. AMANDA MARY JASIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 WALL ST, BURLINGTON, MA 01803-4758
(781) 221-2600
(781) 221-2637
Mailing address
185 LINWOOD AVE APT 4, MELROSE, MA 02176-4732
(716) 725-3864
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2298807
MA
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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