Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand |
NPI | 1982169157 |
---|---|
Provider Name | Margaret Anne Pates |
First Address | Manchester, MA 01944-1047 |
Second Address | Gloucester, MA 01930-2556 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2019 |
Last Update Date | 01/02/2019 |