Individual
SUSAN MAY FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
159 FLAGG RD, EAST BROOKFIELD, MA 01515-2116
(508) 340-5787
Mailing address
159 FLAGG RD, EAST BROOKFIELD, MA 01515-2116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN211835
MA
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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