Individual
RAQUEL PACHECO-KUPSTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
632 BLUE HILL AVE, DORCHESTER, MA 02121-3213
(617) 825-3400
Mailing address
55 SHERWOOD ST, DEDHAM, MA 02026-2629
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN2379020
MA
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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