Individual
MARY LOU ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 MAIN ST, 216, CHARLESTOWN, MA 02129-1125
(617) 600-3195
Mailing address
180 CASTLE RD, NAHANT, MA 01908-1138
(339) 440-5571
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN208237
MA
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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