Individual
MISS JOSELENE RODRIGUES BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19 TACOMA STREET, WORCESTER, MA 01605
(508) 852-1805
Mailing address
PO BOX 352, LUNENBURG, MA 01462-0352
(954) 663-2911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2266630
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110022061 B
GROUP MEDICAID #
MA
Enumeration date
03/01/2011
Last updated
03/01/2011
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