Individual
MS. JENNIFER LYNN DANYLYSHYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 ALLSTON ST, CHARLESTOWN, MA 02129-1901
(585) 507-0034
Mailing address
17 ALLSTON ST, CHARLESTOWN, MA 02129-1901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
236495
NC
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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