Individual
DOMINIQUE JEANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
485 ARSENAL ST, WATERTOWN, MA 02472-5091
(617) 972-5100
Mailing address
485 ARSENAL ST, WATERTOWN, MA 02472-5091
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH241408
MA
Other
Enumeration date
07/22/2022
Last updated
08/07/2024
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