Individual
EDWENS R JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
43 NEWCOMB ST, QUINCY, MA 02169-4507
(857) 526-2849
Mailing address
43 NEWCOMB ST, QUINCY, MA 02169-4507
(857) 526-2849
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN88985
MA
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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