Individual
MARY KOWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
486 WORCESTER ST, KENNEDY DONOVAN CENTER, SOUTHBRIDGE, MA 01550-1386
(508) 765-0292
Mailing address
486 WORCESTER ST, KENNEDY DONOVAN CENTER, SOUTHBRIDGE, MA 01550-1386
(508) 765-0292
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2263083
MA
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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