Individual
FOSTINA AIDOO ROLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
30 INTERVALE RD, WORCESTER, MA 01602
(508) 797-0486
Mailing address
30 INTERVALE RD, WORCESTER, MA 01602-2038
(508) 797-0486
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN69895
MA
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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