Individual
MS. DIANE LAURIENTE FUSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
503 STATE ST, SPRINGFIELD, MA 01109-4101
(413) 733-6661
(413) 733-7841
Mailing address
503 STATE ST, SPRINGFIELD, MA 01109-4101
(413) 733-6661
(413) 733-7841
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
151601
MA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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