Individual
VIRGINIA DUTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4 ARROWHEAD PATH, NORTH TRURO, MA 02652-0000
(508) 487-2325
Mailing address
PO BOX 2033, TRURO, MA 02666-2033
(508) 487-2325
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
107010
MA
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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