Individual
MARY ANN GERMAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CS
Contact information
Practice address
198 RUSSELL ST, WORCESTER, MA 01609
(508) 753-1313
(508) 753-5100
Mailing address
198 RUSSELL ST, WORCESTER, MA 01609
(508) 753-1313
(508) 753-5100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
109995
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1858505
—
MA
Enumeration date
04/07/2006
Last updated
05/04/2011
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