Individual
SHELLA LOUIS-JEUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2067 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1340
(617) 575-5570
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 575-5570
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN99146
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHAE62460
HARVARD PILGRIM HEALTHCARE
MA
Enumeration date
01/05/2021
Last updated
01/05/2021
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