NPI | 1063793826 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACIE ALANNA WASHBURN Nurse Practitioner 508-496-5704 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA RN261281) |
Enumeration Date | 2011-09-07 |
Last Update Date | 2011-09-07 |