Makala R Jean
Home Health Aide in Randolph, MA. Individual provider (NPI-1).
NPI number1528824943
StatusActive
Last updated in NPPESFeb 23, 2024
Details
- NPI
- 1528824943
- Entity type
- Individual (NPI-1)
- Name
- Makala R Jean
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2024
- Certification date
- Feb 23, 2024
- Last updated
- Feb 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
26 Francis Dr Apt 1Randolph, MA 02368-3309
Phone 718-908-1784
Mailing address
26 Francis Dr Apt 1Randolph, MA 02368-3309
Phone 718-908-1784
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