Individual
MARIA GRACE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 CANAL ST, MALDEN, MA 02148-6701
(857) 222-0795
Mailing address
60A PROSPECT ST, NEWBURYPORT, MA 01950-2912
(857) 222-0795
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
190598
MA
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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