Individual
STEPHANIE BOADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Mailing address
284 MECHANIC ST APT 3, SOUTHBRIDGE, MA 01550-1975
(774) 420-4028
(774) 420-4028
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN101037
MA
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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