Individual
JENELLE FACADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
7 SUMMIT RD, SAUGUS, MA 01906-4072
(857) 210-4711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2304034
MA
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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