Individual
KELLEY MOQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 N GROVE ST, MIDDLEBORO, MA 02346-1407
(508) 406-8331
Mailing address
65 N GROVE ST, MIDDLEBORO, MA 02346-1407
(508) 406-8331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2288418
MA
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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