Individual
ELLEN LYNNE FORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
175 CRESCENT AVE, CHELSEA, MA 02150-3009
(617) 889-8779
Mailing address
175 CRESCENT AVE, CHELSEA, MA 02150-3009
(617) 889-8779
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44095
MA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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