Individual
MISS GINA J ZANVETTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
64 CRESTVIEW DR, FLORENCE, MA 01062-2614
(413) 207-2042
Mailing address
64 CRESTVIEW DR, FLORENCE, MA 01062-2614
(413) 207-2042
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN89667
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100038914535
—
MA
Enumeration date
11/22/2012
Last updated
11/22/2012
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