Individual
MISS HEIDI ANNE WOLFGANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
161 PROVIDENCE ROAD, LINWOOD, MA 01525
(978) 333-1760
Mailing address
PO BOX 219, LINWOOD, MA 01525-0219
(978) 333-1760
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
59094
MA
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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