Individual
STAELLE A PIERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 BLUE HILL AVE, DORCHESTER, MA 02121-3213
(617) 825-3400
Mailing address
632 BLUE HILL AVE, DORCHESTER, MA 02121-3213
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2350675
MA
Other
Enumeration date
04/05/2021
Last updated
07/29/2021
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