Individual
KERRY DIPERSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
251 S MAIN ST, ANDOVER, MA 01810-4136
(978) 475-4593
Mailing address
20 CHRISTINE AVE, TYNGSBORO, MA 01879-1241
(978) 427-7794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
214498
MA
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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