Individual
LINDA MANJARREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1132 WESTFIELD ST, WEST SPRINGFIELD, MA 01089-3878
(413) 592-1980
(413) 439-0096
Mailing address
47 FIRECUT LN, SUDBURY, MA 01776-1918
(978) 443-4098
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
153220
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-02534
EVERCARE
MA
Enumeration date
07/30/2006
Last updated
12/06/2007
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