Individual
RHIANA LEE CHAMPOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
102 PETERS STREET SUITE 1, NORTH ANDOVER, MA 01845-3201
(978) 237-5106
Mailing address
102 PETERS STREET SUITE 1, NORTH ANDOVER, MA 01845-3201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2286973
MA
247200000X
Other Technician
2850
MA
Other
Enumeration date
05/19/2007
Last updated
12/31/2015
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