Individual
SUSAN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
75 LINDALL ST, DANVERS, MA 01923-2121
(978) 223-9300
Mailing address
45 APPLE RD APT 21, BEVERLY, MA 01915-5355
(301) 693-0035
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN168400
MA
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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