JAQUERIA BRIANNA LACY

BOSTON, MA
NPI1841093788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-27
Last Update Date2025-03-27
Business Address
JAQUERIA BRIANNA LACY DMD
1 KNEELAND ST
BOSTON, MA 02111-1527
Phone number: 863-279-2887
Mailing Address
JAQUERIA BRIANNA LACY DMD
99 KNEELAND ST APT 603
BOSTON, MA 02111-2436
Phone number: 863-279-2887