Individual
MS. MARY ELLEN LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
375 FORTUNE BLVD, MILFORD, MA 01757-1723
(508) 478-7752
Mailing address
375 FORTUNE BLVD, MILFORD, MA 01757-1723
(508) 478-7752
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
83776
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83776
RN
MA
Enumeration date
11/20/2007
Last updated
11/20/2007
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