Individual
LERREA MENGATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 FOSTER RD, TEWKSBURY, MA 01876-2809
(857) 249-8804
Mailing address
227 FOSTER RD, TEWKSBURY, MA 01876-2809
(857) 249-8804
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN92596
MA
Other
Enumeration date
08/17/2019
Last updated
08/17/2019
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