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Individual

MRS. PATRICIA ANNE MCNAMARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
12 DAVIDSON RD, WORCESTER, MA 01605-1320
(508) 852-7792
(508) 852-7792
Mailing address
12 DAVIDSON RD, WORCESTER, MA 01605-1320
(508) 852-7792
(508) 852-7792

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
156195
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0707171
MASSHEALTH PAY TO PROVIDE
MA
Enumeration date
03/31/2007
Last updated
07/08/2007
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