Individual
DAVID M SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
Mailing address
39 GROVE ST, TURNERS FALLS, MA 01376-1508
(413) 824-4170
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN94187
MA
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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