Individual
SHIVELLE GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77F WARREN ST, BRIGHTON, MA 02135-3601
(617) 254-1271
(617) 782-7668
Mailing address
77F WARREN ST, BRIGHTON, MA 02135-3601
(617) 254-1271
(617) 782-7668
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN56943
MA
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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