Louellen Macdonald PAC

NPI 1790709954 - Physician Assistant - 363A00000X

NPI Details
NPI 1790709954
Gender Female
Enumeration Date 07/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
61 INDUSTRIAL PARK RD
PLYMOUTH MA, 02360-4868, US
Phone (508) 746-8977
Fax (508) 746-3364
Business Location
61 INDUSTRIAL PARK RD
PLYMOUTH MA, 02360-4868, US
Phone (508) 746-8977
Fax (508) 746-3364
Toxanomy
Taxonomy Code 363A00000X
License State Massachusetts
License Number 1667
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According to our database, Mrs. Louellen Macdonald PAC NPI is 1790709954, taxonomy code is 363A00000X and license number is 1667, license state is located at Massachusetts. Louellen Macdonald PAC physically located at 61 Industrial Park Rd, Plymouth MA, 02360-4868. NPI Number Louellen Macdonald PAC has the Individual type.

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1790709954 NPI number is provided on an as is basis without warranty of any kind. 1790709954 is maintained by the National Plan & Provider Enumeration System. The contents of Louellen Macdonald PAC are for informational purposes only.