MICHELLE A JACK

MATTAPAN, MA
NPI1720165715
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MA  252437)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
Ms. MICHELLE A JACK RN
1425 BLUE HILL AVENUE MATTAPAN COMMUNITY HEALTH CENTER
MATTAPAN, MA 02126
Phone number: 617-898-9013
Mailing Address
Ms. MICHELLE A JACK RN
5 SEIDEN ST
DORCHESTER, MA 02124
Phone number: 617-822-7523
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