Individual
MISS DOROTHY MAKONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
128 RICHARDS AVE, PAXTON, MA 01612-1122
(508) 797-0877
Mailing address
128 RICHARDS AVE, PAXTON, MA 01612
(508) 797-0877
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
63979
MA
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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