ETHELRENEE MASSO

BRIDGEPORT, CT
NPI1972801850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  3032461)
Enumeration Date2011-03-02
Last Update Date2011-03-02
Business Address
Mrs. ETHELRENEE MASSO LPN
154 CHESTNUT ST
BRIDGEPORT, CT 06604-2640
Phone number: 646-396-9304
Mailing Address
Mrs. ETHELRENEE MASSO LPN
154 CHESTNUT ST
BRIDGEPORT, CT 06604-2640
Phone number: 646-396-9304