Jaclyn D Andon
Student in an Organized Health Care Education/Training Program in Lowell, MA. Individual provider (NPI-1).
NPI number1043699119
StatusActive
Last updated in NPPESMay 22, 2015
Details
- NPI
- 1043699119
- Entity type
- Individual (NPI-1)
- Name
- Jaclyn D Andon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2015
- Last updated
- May 22, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
148 Warren StLowell, MA 01852-2208
Phone 978-452-1732
Mailing address
148 Warren StLowell, MA 01852-2208
Phone 978-452-1732
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