Individual
MRS. COLBY ALISSA ALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1233 STATE RD, PLYMOUTH, MA 02360-5133
(508) 224-7701
Mailing address
14 TREMONT ST APT 11, KINGSTON, MA 02364-1233
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN90753
MA
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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