Individual
MS. MARY LOU WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
777 DEDHAM ST, NEWTON, MA 02459-3323
(617) 928-4599
Mailing address
777 DEDHAM ST, NEWTON, MA 02459-3323
(617) 928-4599
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
96073
MA
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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