Individual
MARIE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
819 WORCESTER ST, STE 3, SPRINGFIELD, MA 01151-1045
(413) 543-6820
Mailing address
133 COMMANDER SHEA BLVD APT 810, NORTH QUINCY, MA 02171-1565
(617) 894-5985
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2278872
MA
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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