Individual
BERCLYNE A EDOUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 BARRY CIRCLE, RANDOLPH, MA 02368-3631
(857) 350-5306
Mailing address
6 BARRY CIRCLE, RANDOLPH, MA 02368-3631
(857) 350-5306
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN90102
MA
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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