Individual
LARUE HOLTEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-7090
(508) 477-7028
Mailing address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-7090
(508) 477-7028
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN104348
MA
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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