Individual
MRS. MICHEL N/A ULYSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
70 JUDSON ST # 0, MALDEN, MA 02148-7023
(178) 177-5005
Mailing address
70 JUDSON ST # 0, MALDEN, MA 02148-7023
(178) 177-5005
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN99218
MA
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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