Individual
PAULINE ETENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 SWEET GRASS LN, HOLLISTON, MA 01746-2532
(774) 217-0608
Mailing address
309 BELMONT STREET, WORCESTER RECOVERY CENTER AND HOSPITAL, WORCESTER, MA 01604
(508) 368-4000
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN281216
MA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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