Individual
MRS. MARIETTE BELANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19 NIGHTINGALE CIR, RANDOLPH, MA 02368-5244
(857) 891-0055
Mailing address
19 NIGHTINGALE CIR, RANDOLPH, MA 02368-5244
(857) 891-0055
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN87399
MA
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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