Individual
ROSE RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 PERRY AVE, TAUNTON, MA 02780-2315
(508) 663-7866
Mailing address
33 PERRY AVE, TAUNTON, MA 02780-2315
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN97018
MA
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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