Individual
THERESA MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 WAVERLY AVE, MELROSE, MA 02176-4216
(781) 718-4149
Mailing address
121 WAVERLY AVE, MELROSE, MA 02176-4216
(781) 718-4149
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN18355
MA
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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