Individual
MARIANNE K FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18 UNION AVE, ONSET, MA 02558
(508) 295-5232
(508) 295-5233
Mailing address
PO BOX 1292, ONSET, MA 02558-1292
(508) 295-5232
(508) 295-5233
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
1931
MA
163W00000X
Registered Nurse
Primary
RN2310908
MA
Other
Enumeration date
08/24/2017
Last updated
05/20/2022
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