Individual
MARY ASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14 COLUMBUS ST APT 1, WORCESTER, MA 01603-2115
(508) 410-4933
Mailing address
14 COLUMBUS ST APT 1, WORCESTER, MA 01603-2115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2317494
MA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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