Individual
MS. CHRISTINE ERIN DUVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
364 GREEN ST APT 4, CLINTON, MA 01510-3013
(978) 235-1784
Mailing address
364 GREEN ST APT 4, CLINTON, MA 01510-3013
(978) 235-1784
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN67288
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110022061B
GROUP MEDICAID NUMBER
MA
Enumeration date
12/15/2011
Last updated
12/15/2011
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