Individual
KASSIE RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
477 MAIN ST, FAIRHAVEN, MA 02719-4515
(508) 509-0062
Mailing address
477 MAIN ST, FAIRHAVEN, MA 02719-4515
(508) 509-0062
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN93291
MA
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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