Individual
CHANTALE JOSEPH AUGUSTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
55 CHEEVER ST, MILTON, MA 02186-1126
(857) 204-5363
Mailing address
55 CHEEVER ST, MILTON, MA 02186-1126
(857) 204-5363
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
LN68881
MA
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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