Individual
MS. YVETTE J QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
349 N PEARL ST APT 402, BROCKTON, MA 02301-1148
(508) 510-4285
(508) 510-4285
Mailing address
349 N PEARL ST APT 402, BROCKTON, MA 02301-1148
(508) 510-4285
(508) 510-4285
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MA
347C00000X
Private Vehicle
2NNE20
MA
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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