MISS Jacqueline Renee Merritt, BS

NPI #1134284367 in Lowell, Massachusetts

Provider Information

NPI Number: 1134284367
Entity Type: Individual
Name: MISS Jacqueline Renee Merritt, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: BS
Enumeration Date: Dec 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 148 WARREN ST
City: Lowell
State: Massachusetts
ZIP Code: 01852
Phone: (978) 452-1736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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