Individual
KETACHA JUSTINE MARAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
53 NUTMEG DR, WORCESTER, MA 01603-1249
(508) 762-6517
Mailing address
53 NUTMEG DR, WORCESTER, MA 01603-1249
(508) 762-6517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2285114
MA
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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