Individual
MICHELLE LEE PRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 PHEASANT HILL RD, MILLBURY, MA 01527-3939
(508) 981-4113
Mailing address
2 PHEASANT HILL RD, MILLBURY, MA 01527-3939
(508) 981-4113
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN87813
MA
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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