Individual
SUSAN AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 WATER ST, FOXBORO, MA 02035-1702
(978) 804-6125
Mailing address
10 WATER ST, FOXBORO, MA 02035-1702
(978) 804-6125
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218104
MA
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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