Individual
DAPHNE E.L. RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57 RODNEY ST, WORCESTER, MA 01605
(508) 579-9074
Mailing address
57 RODNEY ST, WORCESTER, MA 01605
(508) 579-9074
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN67658
MA
Other
Enumeration date
09/02/2014
Last updated
09/18/2014
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