Individual
NELIA M. RODELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
47 FULLER SHORES ROAD, LAKEVILLE, MA 02347
(508) 923-0876
Mailing address
47 FULLER SHORES ROAD, LAKEVILLE, MA 02347
(508) 923-0876
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5874
MA
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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