Individual
MRS. DIANE PENNY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 340-8592
(781) 340-8146
Mailing address
40 CORNET STETSON RD, HANOVER, MA 02339-2662
(781) 340-8592
(781) 340-8146
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
107436
MA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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