Individual
JEAN CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2033 MAIN ST STE 2, ATHOL, MA 01331-3535
(978) 895-0972
Mailing address
2033 MAIN ST STE 2, ATHOL, MA 01331-3535
(978) 895-0972
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN86557
MA
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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