Individual
MRS. AMY LAROCQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 478-0207
Mailing address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 478-0207
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN2361271
MA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
12/22/2016
Last updated
03/01/2022
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