Individual
FARAH OCTAVIE LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16 PETIPAS LN, RANDOLPH, MA 02368-4917
(781) 961-5922
Mailing address
16 PETIPAS LN, RANDOLPH, MA 02368-4917
(781) 961-5922
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
237158
MA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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