Individual
LEAH CARRASQUILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6 PARC PL, SOUTHAMPTON, MA 01073-9277
(413) 529-9282
(413) 527-7526
Mailing address
6 PARC PLACE, NASHAWANNUCK INTERNAL MEDICINE, SOUTHAMPTON, MA 01073
(413) 529-9282
(413) 527-7526
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
276672
MA
Other
Enumeration date
09/07/2007
Last updated
07/02/2008
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