Individual
MR. WHITNEY VERDIEU LA ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.M.,C.A.G.S.,
Contact information
Practice address
27 MONPONSET ST, MATTAPAN, BOSTON, MA 02126-3011
(617) 800-3665
Mailing address
27 MONPONSET ST, MATTAPAN, BOSTON, MA 02126-3011
(617) 800-3665
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
MA
374U00000X
Home Health Aide
374U00000X
MA
376J00000X
Homemaker
376J00000X
MA
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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