Individual
HEATHER BIBEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
463 SWANSEA MALL DR, SWANSEA, MA 02777-4119
(508) 324-1060
Mailing address
463 SWANSEA MALL DR, SWANSEA, MA 02777-4119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2280195
MA
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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