Individual
MRS. AMANDA MARIE CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 VICTORY RD, QUINCY, MA 02171-3139
(617) 847-1950
(617) 774-1490
Mailing address
500 VICTORY RD, QUINCY, MA 02171-3139
(617) 847-1950
(617) 774-1490
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN88585
MA
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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