Individual
MS. MARCIENNE TALLIS RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
415 BOSTON TURNPIKE, SHREWSBURY, MA 01545
(508) 581-8952
Mailing address
415 BOSTON TURNPIKE, SHREWSBURY, MA 01545
(508) 581-8952
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN148075
MA
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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