Individual
MRS. KIMBERLY HUERTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10 HAZELWOOD AVE # 12, DRACUT, MA 01826
(978) 654-8447
Mailing address
10 HAZELWOOD AVE # 12, DRACUT, MA 01826
(978) 654-8447
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN52839
MA
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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