Most Relevant Information
Provider Data
| NPI Number: | 1003650987 |
| Provider Name: | JESSICA DING |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/24/2024 |
| Last Updated: | 06/24/2024 |
Provider Practice Location
55 FOGG RD
WEYMOUTH
MA
021902455
Practice Location Phone/Fax
| Phone: | 7816248000 |
| Fax: |
Provider Mailing Location
118 CHESTNUT AVE
JAMAICA PLAIN
MA
021301973
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |