Individual
ISABELLE ORISE DUCASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139
(617) 665-1000
Mailing address
300 BROADWAY, SOMERVILLE, MA 02145-2935
(617) 284-7000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN92679
MA
Other
Enumeration date
07/06/2018
Last updated
07/26/2018
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