Individual
MRS. BARBARA JEAN BALCIUS-SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLPN
Contact information
Practice address
177 CARROLL AVE, BROCKTON, MA 02301-6315
(508) 510-5133
(508) 583-9800
Mailing address
64 PLYMOUTH ST, MIDDLEBORO, MA 02346-1106
(508) 510-5133
(580) 583-9800
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN56419
MA
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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