Individual
KATHLEEN M DESILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12 KIMBROUGH RD, BILLERICA, MA 01821-3005
(978) 262-9782
Mailing address
12 KIMBROUGH RD, BILLERICA, MA 01821-3005
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN68568
MA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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