Individual
EDNER DELICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 HEMERWAY STREET, METHUEN, MA 01844-4845
(978) 686-3505
Mailing address
19 HEMERWAY STREET, METHUEN, MA 01844-4845
(978) 686-3505
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
57792
MA
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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