Individual
HEROLD JEROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
65 MCCOY ST, AVON, MA 02322-1608
(781) 510-2069
Mailing address
65 MCCOY ST, AVON, MA 02322-1608
(781) 510-2069
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2348469
MA
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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