Individual
MONTANA SAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
179 CHESTNUT FARM WAY, RAYNHAM, MA 02767-1579
(774) 417-0103
Mailing address
179 CHESTNUT FARM WAY, RAYNHAM, MA 02767-1579
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
94170
MA
Other
Enumeration date
01/12/2022
Last updated
02/28/2022
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