Individual
TIFFANY SALO-LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
82 JEFFERSON AVE, NORTHBRIDGE, MA 01534-1076
(774) 239-2658
Mailing address
82 JEFFERSON AVE, NORTHBRIDGE, MA 01534-1076
(774) 239-2658
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN99456
MA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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