Individual
DIANE MARY SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
148 WARREN ST, LOWELL, MA 01852-2208
(978) 452-1736
Mailing address
148 WARREN ST, LOWELL, MA 01852-2208
(978) 452-1736
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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