Individual
KAYLAN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
50 ARNOLD ST, WRENTHAM, MA 02093-1727
(401) 297-7483
Mailing address
50 ARNOLD ST, WRENTHAM, MA 02093-1727
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN89448
MA
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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