WIBIE S ALTIDOR

BROCKTON, MA
NPI1427560796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MA  LN9400)
Enumeration Date2017-10-26
Last Update Date2017-10-26
Business Address
WIBIE S ALTIDOR LPN
165 QUINCY ST
BROCKTON, MA 02302-2988
Phone number: 508-897-2092
Mailing Address
WIBIE S ALTIDOR LPN
165 QUINCY ST
BROCKTON, MA 02302-2988
Phone number: 508-897-2092
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