Individual
KERRY-ANN MALICIA-MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 GIFFORD ST, NEW BEDFORD, MA 02744-2610
(508) 999-3126
Mailing address
53 GRINNELL ST, FALL RIVER, MA 02721-6215
(508) 287-9914
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN63586
MA
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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