Individual
ANN MUTHARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 ELM ST APT 4, WORCESTER, MA 01609-1950
(508) 340-2859
Mailing address
138 ELM ST APT 4, WORCESTER, MA 01609-1950
(508) 340-2859
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN85281
FM
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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