Individual
CAROL THEROUX
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
908 ALLEN ST, SPRINGFIELD, MA 01118-2533
(413) 796-7494
(413) 796-7498
Mailing address
PO BOX 1330, SPRINGFIELD, MA 01101-1330
(413) 796-7494
(413) 796-7498
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
135502
MA
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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