Shannon Mary Dicenso, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Blackstone, MA

NPI

1730939901

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

LN89314 (MA)

Sex

Female

Sole proprietor

Yes

Enumerated

2024-03-22

Last updated

2024-03-22