Individual
THERESA GORETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
Mailing address
16 MANSFIELD ST, SOMERVILLE, MA 02143-3102
(508) 277-6054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2266240
MA
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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