Individual
MRS. MICHELLE HOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
411 WAVERLEY OAKS RD, SUITE 305, WALTHAM, MA 02452-8448
(781) 647-6564
Mailing address
411 WAVERLEY OAKS RD, SUITE 305, WALTHAM, MA 02452-8448
(781) 647-6564
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN 118116
MA
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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