Individual
MISS LAURIE ANNE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 TOBEY STREET, GARDNER, MA 01440
(978) 846-9910
Mailing address
17 TOBEY STREET, GARDNER, MA 01440
(978) 846-9910
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN89634
MA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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