Individual
AMY BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 PAUL BUNKER DR, TAUNTON, MA 02780-4285
(774) 269-3313
Mailing address
60 PAUL BUNKER DR, TAUNTON, MA 02780-4285
(774) 269-3313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2271571
MA
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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