# CHERIE RENEE BRISEBOIS-TETRAULT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1437618832
- **Gender:** F
- **Credential:** RE LE CLT LLT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | 1702 | MA | Yes |
| 246Z00000X | Other Specialist/Technologist | 547 | CT | — |
| 246Z00000X | Other Specialist/Technologist | L-30 | MA | — |

## Other

- **Enumeration date:** 03/15/2019
- **Last updated:** 08/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1702 | ELECTROLOGIST LICENSE NUMBER | MA |
| 01 | — | 547 | ELECTROLOGIST LICENSE NUMBER | CT |
| 01 | — | L-30 | LASER ELECTROLYSIS LICENSE | MA |