Individual
CHERYL CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1086 MAIN ST, ASHBY, MA 01431-2310
(339) 927-5384
Mailing address
1086 MAIN ST, ASHBY, MA 01431-2310
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN86862
MA
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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