Individual
MAXWELL DEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 BELLEVUE RD, 2ND FLOOR, LYNN, MA 01904-2807
(781) 595-0311
Mailing address
11 BELLEVUE RD, 2ND FLOOR, LYNN, MA 01904-2807
(781) 595-0311
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN65112
MA
376K00000X
Nurse's Aide
LN65112
MA
Other
Enumeration date
06/09/2010
Last updated
01/12/2022
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