Individual
MARY KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
387 QUARRY ST, SUITE 100, FALL RIVER, MA 02723-1025
(508) 679-8111
(774) 627-1284
Mailing address
387 QUARRY ST, SUITE 100, FALL RIVER, MA 02723-1025
(508) 679-8111
(774) 627-1284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN284423
MA
Other
Enumeration date
06/24/2011
Last updated
01/18/2013
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