Individual
RAYNNA REZENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
965 CHURCH ST, NEW BEDFORD, MA 02745-1400
(508) 992-0444
Mailing address
965 CHURCH ST, NEW BEDFORD, MA 02745-1400
(508) 992-0444
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN94126
MA
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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