Individual
TRACEY DIANE SICILIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
39 -A BEAVER DAM RD., SCITUATE, MA 02066
(781) 545-7604
Mailing address
39 -A BEAVER DAM RD., SCITUATE, MA 02066
(781) 545-7604
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
203265
MA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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