Individual
IVANA WISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
150 PARK ST, LAWRENCE, MA 01841-2517
(978) 685-1770
Mailing address
16 GABS PATH, TEWKSBURY, MA 01876-2194
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN10000758
MA
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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