Individual
LINDA MARIE DAGOUMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17 TAMARAC DR, HAVERHILL, MA 01830-2817
(978) 489-8051
Mailing address
17 TAMARAC DR, HAVERHILL, MA 01830-2817
(978) 489-8051
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN89755
MA
Other
Enumeration date
09/30/2012
Last updated
09/30/2012
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