PASQUINA REVANCHE

BROCKTON, MA
NPI1083315477
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MA  LN94663)
Enumeration Date2023-03-13
Last Update Date2023-03-13
Business Address
PASQUINA REVANCHE
315 BELAIR ST
BROCKTON, MA 02301-2029
Phone number: 617-849-0535
Mailing Address
PASQUINA REVANCHE
315 BELAIR ST
BROCKTON, MA 02301-2029
Phone number: 617-849-0535
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