Individual
PRISCILLA SPINDOLA SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
72 UNION AVE, FRAMINGHAM, MA 01702-8216
(508) 270-5700
Mailing address
72 UNION AVE, FRAMINGHAM, MA 01702-8216
(508) 270-5700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN279777
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110022061E
GROUP MEDICAID NUMBER
MA
Enumeration date
01/19/2010
Last updated
01/19/2010
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