Individual
OLIVIA SIBAILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
188 CENTRAL ST, LEOMINSTER, MA 01453-6114
(978) 537-7940
Mailing address
188 CENTRAL ST, LEOMINSTER, MA 01453-6114
(978) 537-7940
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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