Individual
KAYLA ROSE DISALVATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63 BRIGGS AVE, PLYMOUTH, MA 02360-5916
(774) 404-1146
Mailing address
63 BRIGGS AVE, PLYMOUTH, MA 02360-5916
(774) 404-1146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2326253
MA
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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