Individual
JASON VAL CORRIVEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
16 DRAGON RD, WEBSTER, MA 01570-2115
(774) 200-9351
Mailing address
16 DRAGON RD, WEBSTER, MA 01570-2115
(774) 200-9351
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN58235
MA
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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