Individual
MRS. LAURA TERESA WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 CLARK ST, EVERETT, MA 02149-2105
(857) 294-2085
Mailing address
77 CLARK ST, EVERETT, MA 02149-2105
(857) 294-2085
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN86305
MA
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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