Individual
MANDY MARIE WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
155 AIRPORT RD, FITCHBURG, MA 01420-8142
(978) 627-4182
Mailing address
155 AIRPORT RD, FITCHBURG, MA 01420-8142
(978) 627-4182
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN89441
MA
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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