Individual
COLLEEN LILJEBLAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 COWAN LN, MANSFIELD, MA 02048-1700
(617) 549-9759
Mailing address
47 OLD FARM RD, MANSFIELD, MA 02048-1710
(508) 339-4040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN262390
MA
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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