Individual
MEAGHAN ELIZABETH BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
28 NICKERSON ST, PLYMOUTH, MA 02360-5655
(508) 415-8395
Mailing address
28 NICKERSON ST, PLYMOUTH, MA 02360-5655
(508) 415-8395
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN89378
MA
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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