Individual
MRS. MARY MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4 LONGMEADOW RD, MEDFIELD, MA 02052-1007
(508) 359-2247
Mailing address
4 LONGMEADOW RD, MEDFIELD, MA 02052-1007
(508) 359-2247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
148477
MA
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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