Individual
SANDRA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 WASHINGTON ST, FOXBOROUGH, MA 02035-1496
(774) 215-5579
Mailing address
113 WASHINGTON ST, FOXBOROUGH, MA 02035-1496
(774) 215-5579
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2263627
MA
Other
Enumeration date
10/21/2019
Last updated
10/22/2019
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