Individual
YONIDE LARECHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
435 SHREWSBURY ST, WORCESTER, MA 01604-1689
(508) 753-5554
(508) 752-7245
Mailing address
435 SHREWSBURY ST, WORCESTER, MA 01604-1689
(508) 753-5554
(508) 752-7245
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN262762
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110153385A
—
MA
Enumeration date
01/14/2016
Last updated
06/24/2024
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