Individual
MR. JEREMIAS ELIS DEOLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNPC
Contact information
Practice address
26 QUEEN ST, WORCESTER, MA 01610-2473
(508) 860-7700
(508) 860-7989
Mailing address
26 QUEEN ST, WORCESTER, MA 01610-2473
(508) 860-7700
(508) 860-7989
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
207032
MA
Other
Enumeration date
08/09/2006
Last updated
06/09/2016
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