Lily Grace Small
Lily Grace Small is a Student in an Organized Health Care Education/Training Program in Fitchburg, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
11 Quarter Horse LnFitchburg, MA 01420-8926
Phone: (978) 906-5410
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1700632387 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 25, 2024 |
| Last updated in NPPES | April 25, 2024 |
| Certification date | April 25, 2024 |
| Mailing address | 11 Quarter Horse Ln, Fitchburg, MA 01420-8926 |
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