Individual
MS. MARJORIE PHYLLIS HOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
120 SACHEM ST, MIDDLEBORO, MA 02346-2924
(508) 947-7072
Mailing address
120 SACHEM ST, MIDDLEBORO, MA 02346-2924
(508) 947-7072
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
36200
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0703222
MASS HEALTH IND PROVIDER
MA
Enumeration date
06/01/2007
Last updated
07/08/2007
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