Individual
CHERYL PUOPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
820 PEARL ST, BROCKTON, MA 02301-4411
(508) 583-9800
(508) 583-9802
Mailing address
820 PEARL ST, BROCKTON, MA 02301-4411
(508) 583-9800
(508) 583-9802
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN88009
MA
Other
Enumeration date
03/30/2014
Last updated
03/30/2014
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