Individual
SUZANNE MARIE MCMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
30 42ND ST, BERKLEY, MA 02779-2307
(508) 967-7848
Mailing address
30 42ND ST, BERKLEY, MA 02779-2307
(508) 967-7848
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN59970
MA
164W00000X
Licensed Practical Nurse
LN59970L
MA
Other
Enumeration date
02/15/2010
Last updated
02/24/2010
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