Canonical ID: NK-H3rd4Mk9X8uLULLZeUWii3 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | 690 CANTON ST, SUITE 325, WESTWOOD, MA 020902321 | ext_us_cms_npi | us-npi-1619384336 | ||||
LegalEntity:country | us | us_ma_med_exclusions | us-medma-8bc8612f11440dd2b22748ec9e577eacb9b04485 | ||||
Person:country | us | ext_us_cms_npi | us-npi-1619384336 | ||||
Person:firstName | JACLYN | ext_us_cms_npi | us-npi-1619384336 | ||||
LegalEntity:id | 684bea191652ee6affc8785429532c76b0984f96 | us_ma_med_exclusions | us-medma-8bc8612f11440dd2b22748ec9e577eacb9b04485 | ||||
Person:id | b5b47d86e25abd1b6be8fbbcbb8bcd2b7111e449 | ext_us_cms_npi | us-npi-1619384336 | ||||
Person:lastName | HUMPHREY | ext_us_cms_npi | us-npi-1619384336 | ||||
LegalEntity:name | JACLYN K HUMPHREY | eng | us_ma_med_exclusions | us-medma-8bc8612f11440dd2b22748ec9e577eacb9b04485 | |||
Person:name | JACLYN HUMPHREY | ext_us_cms_npi | us-npi-1619384336 | ||||
LegalEntity:npiCode | 1619384336 | eng | us_ma_med_exclusions | us-medma-8bc8612f11440dd2b22748ec9e577eacb9b04485 | |||
Person:npiCode | 1619384336 | ext_us_cms_npi | us-npi-1619384336 | ||||
LegalEntity:sector | CERTIFIED REGISTERED NURSE ANESTHETISTS | eng | us_ma_med_exclusions | us-medma-8bc8612f11440dd2b22748ec9e577eacb9b04485 | |||
LegalEntity:topics | debarment | us_ma_med_exclusions | us-medma-8bc8612f11440dd2b22748ec9e577eacb9b04485 | ||||