Individual
MRS. BLANDINE TCHIENGOUA POUSSEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 534-1268
Mailing address
62 BOW ST, SAUGUS, MA 01906-1166
(781) 309-2640
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2291871
MA
Other
Enumeration date
09/19/2021
Last updated
09/19/2021
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