Individual
MARTHA LIVESAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 754-3000
Mailing address
802 MAPLE ST, MANCHESTER, NH 03104-3211
(603) 858-0260
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2276645
MA
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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