Individual
GERSON ROCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
391 BROADWAY, EVERETT, MA 02149-3470
(617) 394-7702
Mailing address
94 NICHOLS ST APT 1R, EVERETT, MA 02149-4968
(508) 361-5071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
LN67483
MA
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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