Individual
SUZETTE BELLEVUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6696
(508) 559-5073
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6696
(508) 559-5073
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN90882
MA
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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