NPI 1720858343

Marie G Jeanty

Practitioner Driver Worcester, MA

Practice location

Address: 146 Eastern Ave APT 2, Worcester, MA 01605-4805
Phone: (516) 289-8247

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence S77121090 (MA)

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Registry record

NPI: 1720858343
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2024
Record last updated: 4 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.