Individual
RICHARD MATE SHIMECHERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 847-1950
(617) 774-1490
Mailing address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 847-1950
(617) 774-1490
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN86254
MA
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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