Individual
MISS SARAH V GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
31A WORKSHOP RD, SOUTH YARMOUTH, MA 02664-1210
(508) 398-5155
Mailing address
31A WORKSHOP RD, SOUTH YARMOUTH, MA 02664-1210
(508) 398-5155
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN100864
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LN100864
—
MA
Enumeration date
10/21/2022
Last updated
10/21/2022
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