Individual
CAROL RACHEAL NASSUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 SHAMROCK LN, MEDWAY, MA 02053-1934
(413) 519-1713
Mailing address
4 SHAMROCK LN, MEDWAY, MA 02053-1934
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2341896
MA
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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