Individual
SANDRA PARISIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 KEITH AVE APT 2, BROCKTON, MA 02301-6818
(857) 991-4116
Mailing address
66 KEITH AVE APT 2, BROCKTON, MA 02301-6818
(857) 991-4116
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN91138
MA
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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