Individual
PRINCETTA LEIGH STOCKBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 CORDAGE PARK CIR STE 115, PLYMOUTH, MA 02360-7318
(508) 778-5470
Mailing address
13 WAREHAM ST, CARVER, MA 02330-1710
(817) 360-6129
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
223890
MA
163WC1500X
Community Health Registered Nurse
223890
MA
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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