Individual
MARIE-RENEE DARLINE LUCIEN-JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
252 GROVE STREET, SUITE 301, BRAINTREE, MA 02184
(617) 212-0711
Mailing address
543 CENTRAL ST, STOUGHTON, MA 02072-4111
(617) 212-0711
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2262840
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2262840
N/A
MA
Enumeration date
06/22/2022
Last updated
06/22/2022
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