Individual
TOMAS S DOMECILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
27 MUDDY POND RD, STERLING, MA 01564-2602
(718) 666-7563
Mailing address
27 MUDDY POND RD, STERLING, MA 01564-2602
(718) 666-7563
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN274064
MA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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