Individual
ILEANA MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
675 PARAMOUNT DR STE 205, RAYNHAM, MA 02767-5416
(617) 798-6500
Mailing address
675 PARAMOUNT DR STE 205, RAYNHAM, MA 02767-5416
(617) 798-6500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2325848
MA
Other
Enumeration date
10/07/2021
Last updated
12/02/2022
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