Most Relevant Information
Provider Data
NPI Number: | 1003446592 |
Provider Name: | JENNA SCHEELAND |
Entity Type: | Individual |
Taxonomy Code: | 2255A2300X |
Specialty: | Specialist/Technologist |
License Number: |
Most Important Dates
Enumeration Date: | 01/23/2020 |
Last Updated: | 01/23/2020 |
Provider Practice Location
635 COMMONWEALTH AVE
BOSTON
MA
022151605
Practice Location Phone/Fax
Phone: | 6173532713 |
Fax: |
Provider Mailing Location
12 WADSWORTH ST
ALLSTON
MA
021341822
Provider Mailing Phone/Fax
Phone: | 4803700979 |
Fax: |