Individual
EMELIA ADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 CITY DEPOT RD UNIT 301, CHARLTON, MA 01507-5472
(508) 332-6386
Mailing address
PO BOX 814, CHARLTON CITY, MA 01508-0814
(508) 332-6386
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN98829
MA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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