Individual
TRACEY MARIE DUSHAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
439 S UNION ST, LAWRENCE, MA 01843-2837
(978) 682-9222
(978) 681-9534
Mailing address
8 OAK KNOLL RD, METHUEN, MA 01844-4923
(978) 681-9222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
256548
MA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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