TRACY ANN VIDETTA

LOWELL, MA
NPI1265194674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MA  RN2299729)
Enumeration Date2021-10-13
Last Update Date2021-10-13
Business Address
TRACY ANN VIDETTA PMHNP
27 JACKSON ST APT 213
LOWELL, MA 01852-2140
Phone number: 617-697-2721
Mailing Address
TRACY ANN VIDETTA PMHNP
27 JACKSON ST APT 213
LOWELL, MA 01852-2140
Phone number: 617-697-2721
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