Individual
CHANTALE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
98 PERRY AVE, WORCESTER, MA 01610-2112
(508) 405-5402
(508) 405-5402
Mailing address
122 WAYSIDE INN RD, MARLBOROUGH, MA 01752-1716
(508) 405-5402
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2308061
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000000000
NON MEDICAL
MA
Enumeration date
10/23/2017
Last updated
10/23/2017
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