Individual
MISS CAROLYN ANN CORMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
260890
MA
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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