MARVEL LAROSE

RANDOLPH, MA
NPI1407209620
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy253J00000X Foster Care Agency
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MA  RN2292446)
Enumeration Date2016-07-22
Last Update Date2025-06-27
Business Address
MARVEL LAROSE
217 CHESTNUT ST
RANDOLPH, MA 02368-2407
Phone number: 857-991-0110
Mailing Address
MARVEL LAROSE
73 CEDAR ST SUITE 1
ROXBURY, MA 02119-1428
Phone number: