Individual
MS. IMMACULA DENIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
2 AVON CT, WAKEFIELD, MA 01880-2202
(781) 245-2913
(781) 245-8982
Mailing address
2 AVON CT, WAKEFIELD, MA 01880-2202
(781) 245-2913
(781) 245-8982
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
228734
MA
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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