Individual
REBECCA HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 LINDALL ST, DANVERS, MA 01923-2121
(978) 223-9552
Mailing address
158 CONCORD RD APT E11, BILLERICA, MA 01821-4622
(978) 330-8478
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN89723
MA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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