Individual
MARLINE AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(857) 203-5640
Mailing address
32 NEPONSET ST APT 1310, CANTON, MA 02021-2915
(786) 419-0218
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN96339
MA
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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