Individual
VANESSA RAESCHELLE HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1425 BLUE HILL AVE, MATTAPAN, MA 02126-2253
(617) 296-0061
Mailing address
199 BLUE HILL AVE, MILTON, MA 02186-1135
(617) 698-8224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2260940
MA
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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