Individual
MS. TERESA J. WHITE-HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 LINDALL ST, DANVERS, MA 01923-2212
(978) 766-1903
Mailing address
3 LINDALL ST, DANVERS, MA 01923-2212
(978) 766-1903
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN85923
MA
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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