Individual
MARCIA MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
35 JOHNSON ST, NEWBURYPORT, MA 01950-3819
(978) 809-9526
Mailing address
35 JOHNSON ST, NEWBURYPORT, MA 01950-3819
(978) 809-9526
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN67774
MA
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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