Individual
LUCY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
163 GORE ST, CAMBRIDGE, MA 02141-1119
(617) 575-5850
Mailing address
83 3RD ST, CAMBRIDGE, MA 02141-1731
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN240320
MA
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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