Individual
AMANDA BLANCH HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 PARK ST, LAWRENCE, MA 01841-2517
(978) 685-1770
Mailing address
150 PARK ST, LAWRENCE, MA 01841-2517
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN2336746
MA
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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