Individual
MR. VIVENS ULYSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 MAIN ST, WALPOLE, MA 02081-3753
(617) 514-2495
Mailing address
28 COLUMBUS AVE, STOUGHTON, MA 02072-3214
(781) 228-9627
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2282687
MA
Other
Enumeration date
07/07/2023
Last updated
07/13/2023
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