Individual
MISS BRITTANY NICHOLE WIDDISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
26 BUTLER LN, MASHPEE, MA 02649-6209
(508) 364-6461
Mailing address
26 BUTLER LN, MASHPEE, MA 02649-6209
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN90406
MA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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