Individual
MS. LINDA THERESA DATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
281 LINCOLN ST, DEPARTMENT OF ANESTHESIOLOGY, WORCESTER, MA 01605-2138
(508) 334-5897
(508) 334-5179
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN89076
MA
Other
Enumeration date
10/03/2006
Last updated
03/05/2009
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