Individual
CHRISTINE MARIE ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15 RIVER RUN, MASHPEE, MA 02649-3198
(978) 835-5868
Mailing address
15 RIVER RUN, MASHPEE, MA 02649-3198
(978) 835-5868
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN56606
MA
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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