Individual
MARY LOU LUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
138 ALLISON AVE, TAUNTON, MA 02780
(508) 880-0202
Mailing address
138 ALLISON AVE, TAUNTON, MA 02780
(508) 880-0202
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
86206
MA
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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