Individual
MADELINE LEITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-1068
Mailing address
66 VARNUM ST, ARLINGTON, MA 02474-8713
(508) 818-3622
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN1001737
MA
Other
Enumeration date
11/10/2021
Last updated
09/13/2024
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