Individual
NICOLE BELLIVEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
173 CHELSEA ST, EVERETT, MA 02149-4632
(781) 388-6296
Mailing address
173 CHELSEA ST, EVERETT, MA 02149-4632
(781) 388-6296
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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