Individual
ISMAELLE GUERRIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HCRC, 170 MORTON ST, BOSTON, MA 02130
(617) 541-3670
Mailing address
458 LINCOLN ST APT 11, STOUGHTON, MA 02072-4141
(781) 308-3623
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN93418
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LN93418
MA LPN LICENSE
MA
Enumeration date
04/13/2021
Last updated
04/13/2021
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