Individual
MARYELLEN FALVEY LOUCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
66 MORGAN WAY, W BARNSTABLE, MA 02668-1847
(508) 420-3240
Mailing address
66 MORGAN WAY, W BARNSTABLE, MA 02668-1847
(508) 420-3240
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
175206
MA
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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