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Individual

MRS. LYNNETTE J DIAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
27 PLANTATION RD, PLYMOUTH, MA 02360-4725
(508) 746-0318
Mailing address
27 PLANTATION RD, PLYMOUTH, MA 02360-4725
(508) 746-0318

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
234140
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0704776
MA
Enumeration date
03/28/2007
Last updated
07/08/2007
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