Individual
MARY RITA HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
125 GRANGER ST, QUINCY, MA 02170-2521
(617) 653-4079
Mailing address
125 GRANGER ST, QUINCY, MA 02170-2521
(617) 653-4079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN164853
MA
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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