Individual
SUZANNE MARIE KIRVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
298 WASHINGTON ST, GLOUCESTER, MA 01930-4832
(781) 777-5683
Mailing address
298 WASHINGTON ST, GLOUCESTER, MA 01930-4832
(781) 777-5683
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2302399
MA
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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