Individual
EAVAN DIXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
173 CHELSEA ST, EVERETT, MA 02149-4632
(781) 388-6200
Mailing address
77 POND AVE APT 507, BROOKLINE, MA 02445-7113
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN92958
MA
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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