Individual
JOANNE IRENE MICHENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
150 YORK ST, STOUGHTON, MA 02072-1829
(781) 344-0600
Mailing address
90 NEPONSET ST APT 903, CANTON, MA 02021-2948
(781) 828-6480
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
67625
MA
Other
Enumeration date
06/10/2007
Last updated
07/08/2007
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