Individual
MS. STACEY MARIE ANZALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
Mailing address
233 RIVER RD, WINTHROP, MA 02152-1759
(857) 201-9359
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2343009
MA
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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