Individual
CHANTEL NICOLE LONGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
64 DAY ST APT 3, JAMAICA PLAIN, MA 02130-1194
(386) 402-3889
Mailing address
64 DAY ST APT 3, JAMAICA PLAIN, MA 02130-1194
(386) 402-3889
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN99399
MA
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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