Individual
MS. DIANE MARIE O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
72 JAQUES AVE, WORCESTER, MA 01610-2476
(508) 860-1000
Mailing address
45 SUMMER ST, LEOMINSTER, MA 01453-3228
(508) 860-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2269275
MA
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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