Individual
LIANNNE FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
84 CORNING AVE, WORCESTER, MA 01605-1434
(508) 826-9604
Mailing address
84 CORNING AVE, WORCESTER, MA 01605-1434
(508) 826-9604
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2281804
MA
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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