Individual
AMY DEMORANVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
68 ALLISON AVE, TAUNTON, MA 02780-6958
(508) 880-0202
Mailing address
10 RESERVOIR AVE, LAKEVILLE, MA 02347-1516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2296131
MA
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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