Individual
IMARI ASHLEY DUARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
251 PURCHASE ST, NEW BEDFORD, MA 02740-8324
(774) 305-1110
Mailing address
251 PURCHASE ST, NEW BEDFORD, MA 02740-8324
(774) 305-1110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN1001601
MA
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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