Individual
MALLORY DEVINCENTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9 VILLAGE INN RD, WESTMINSTER, MA 01473-1643
(978) 571-1700
Mailing address
9 VILLAGE INN RD, WESTMINSTER, MA 01473-1643
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN99108
MA
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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