Most Relevant Information
Provider Data
| NPI Number: | 1003371634 |
| Provider Name: | STEFANIA M PERALTA RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN2328799 |
Most Important Dates
| Enumeration Date: | 02/07/2019 |
| Last Updated: | 02/07/2019 |
Provider Practice Location
19 TACOMA ST
WORCESTER
MA
016053516
Practice Location Phone/Fax
| Phone: | 5088521805 |
| Fax: |
Provider Mailing Location
34 SHREWSBURY GREEN DR UNIT J
SHREWSBURY
MA
015453636
Provider Mailing Phone/Fax
| Phone: | 6177638292 |
| Fax: |