Individual
ELISJA ANDREA MARTINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S MOUNTAIN RD, NORTHFIELD, MA 01360-9685
(413) 885-6318
Mailing address
515 S MOUNTAIN RD, NORTHFIELD, MA 01360-9685
(413) 885-6318
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN2261121
MA
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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