Individual
KELLY POULIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
25 N MAIN ST, ATTLEBORO, MA 02703-2217
(508) 436-5531
Mailing address
25 N MAIN ST, ATTLEBORO, MA 02703-2217
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
68802
MA
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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