Most Relevant Information
Provider Data
| NPI Number: | 1003219148 |
| Provider Name: | JENNIFER CAROLYN FREITAS MA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/03/2014 |
| Last Updated: | 07/28/2017 |
Provider Practice Location
172 LINCOLN ST
WORCESTER
MA
016053750
Practice Location Phone/Fax
| Phone: | 5087700511 |
| Fax: |
Provider Mailing Location
172 LINCOLN ST
WORCESTER
MA
016053750
Provider Mailing Phone/Fax
| Phone: | 5087700511 |
| Fax: |