Individual
WENDY BETH EISAN-LABELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
231 MAIN ST, BROCKTON, MA 02301-4342
(413) 301-9355
Mailing address
231 MAIN ST, BROCKTON, MA 02301-4342
(413) 301-9355
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN100734
MA
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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