Individual
KELSEY LEE DEMASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
965 CHURCH ST, NEW BEDFORD, MA 02745-1400
(508) 996-3154
Mailing address
200 SCONTICUT NECK RD, FAIRHAVEN, MA 02719-1612
(508) 317-8043
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN1001674
MA
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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