Individual
JAKE KENJI MULVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 W CUMMINGS PARK STE 3400, WOBURN, MA 01801-6551
(781) 715-5729
Mailing address
110 NORFOK AVE, SWAMPSCOTT, MA 01907
(781) 715-5729
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MA
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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