Individual
JOYCE KEINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 JAQUES AVE, WORCESTER, MA 01610-2476
(508) 680-1000
Mailing address
72 JAQUES AVE, WORCESTER, MA 01610-2476
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN271908
MA
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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