Individual
THERESA KOLOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 MULBERRY ST # 204, PO BOX 313, LEEDS, MA 01053
(413) 727-3882
Mailing address
776 MAIN RD, GRANVILLE, MA 01034-9705
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN216962
MA
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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