Individual
MS. LISA MARIE BOZZUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
25 MAIN STREET, STOCKBRIDGE, MA 01262-0962
(413) 298-5511
Mailing address
623 MAIN ST, GREAT BARRINGTON, MA 01230-2002
(413) 528-9392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
217416
MA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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