Individual
LILIAN BEATRIZ LOPES DE ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
237 HIGHLAND AVE, NEEDHAM, MA 02494-3036
(781) 433-0672
Mailing address
237 HIGHLAND AVE, NEEDHAM, MA 02494-3036
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S80474448
DRIVERS LISCENCE
MA
Enumeration date
09/08/2017
Last updated
06/16/2018
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