Individual
MS. MARGERY WALENTUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(978) 581-3900
Mailing address
24 WARREN ST, NEWBURYPORT, MA 01950-2232
(978) 609-1681
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN217947
MA
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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