Individual
MICHELLE ELICIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
Mailing address
183 COUNTRY CLUB BLVD APT 501, WORCESTER, MA 01605-1536
(508) 963-5262
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN98698
MA
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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