Individual
MARIO ROBERT MUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
32 HAMILTON AVE, MILFORD, MA 01757-1748
(508) 634-3420
Mailing address
32 HAMILTON AVE, MILFORD, MA 01757-1748
(508) 634-3420
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN92540
MA
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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