Individual
R. MIMI CLARKE SECOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
405 GROVE ST, WORCESTER, MA 01605-1270
(508) 756-7123
Mailing address
405 GROVE ST, WORCESTER, MA 01605-1270
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
128155
MA
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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