Individual
CARLY A DETTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
444 MAIN RD # 593, MONTEREY, MA 01245-9800
(413) 329-8635
Mailing address
444 MAIN RD # 593, MONTEREY, MA 01245-9800
(413) 329-8635
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN256666
MA
Other
Enumeration date
10/05/2009
Last updated
12/18/2024
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