Individual
MRS. ZSAZSA VANESSA BRUNELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16 FLAGG HL, ERVING, MA 01344
(413) 329-9121
Mailing address
16 FLAGG HL, ERVING, MA 01344
(413) 329-9121
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN86407
MA
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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