Individual
ALYSSA RAE BIANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 366, SOUTH BARRE, MA 01074-0366
(978) 870-7868
Mailing address
PO BOX 366, SOUTH BARRE, MA 01074-0366
(978) 870-7868
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN98461
MA
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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