Individual
MRS. KELOURDE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
114 WILLOW ST, STOUGHTON, MA 02072-1029
(774) 360-0332
Mailing address
114 WILLOW ST, STOUGHTON, MA 02072-1029
(774) 360-0332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
277717
MA
Other
Enumeration date
06/03/2010
Last updated
06/07/2010
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