Individual
SUSANA ANACLETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17 BROOKWAY DR, SHREWSBURY, MA 01545-5011
(774) 275-4575
Mailing address
17 BROOKWAY DR, SHREWSBURY, MA 01545-5011
(774) 275-4575
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN97619
MA
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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