Most Relevant Information
Provider Data
| NPI Number: | 1003485780 |
| Provider Name: | JENNIFER M DEACON |
| Entity Type: | Individual |
| Taxonomy Code: | 171400000X |
| Specialty: | Health & Wellness Coach |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/17/2021 |
| Last Updated: | 07/23/2024 |
Provider Practice Location
737 WEBSTER ST
MARSHFIELD
MA
020504952
Practice Location Phone/Fax
| Phone: | 7819080795 |
| Fax: |
Provider Mailing Location
26 TAFT RD
WEYMOUTH
MA
021883620
Provider Mailing Phone/Fax
| Phone: | 7819080795 |
| Fax: |