Individual
MARIE RAOUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6 FIELDS CT, MELROSE, MA 02176-3948
(617) 309-6904
Mailing address
6 FIELDS CT, MELROSE, MA 02176-3948
(617) 309-6904
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN51331
MA
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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