Individual
ELIZABETH LOUISE SPADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(508) 583-4500
Mailing address
17 GREENLEAF ST APT 12, QUINCY, MA 02169-4442
(857) 939-8471
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN96902
MA
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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