Individual
KELSEY ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 HYDE PARK AVE APT 2, BOSTON, MA 02130-4166
(413) 544-9396
Mailing address
164 HYDE PARK AVE APT 2, BOSTON, MA 02130-4166
(413) 544-9396
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN2316834
MA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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