Individual
ANNE-MARIE ILACQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10P GILL ST, WOBURN, MA 01801-1721
(781) 932-2888
Mailing address
202 SYCAMORE ST, WATERTOWN, MA 02472-1061
(339) 970-1673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2316786
MA
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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