Individual
ELIZABETH MACEDO MENDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
190 LENOX ST, NORWOOD, MA 02062-3416
(781) 234-8212
Mailing address
43 RAYMOND ST, FALL RIVER, MA 02723-2823
(508) 974-5041
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
58699
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780791467
—
MA
Enumeration date
01/04/2011
Last updated
01/04/2011
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