KELLY HELEN PROVENCHER

WEST ROXBURY, MA
NPI1790898252
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MA  234648)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
Ms. KELLY HELEN PROVENCHER RN,MSN,BC
1400 VFW PKWY
WEST ROXBURY, MA 02132-4927
Phone number: 617-323-7700
Mailing Address
Ms. KELLY HELEN PROVENCHER RN,MSN,BC
8 PIERRE VERNIER DRIVE
MASHPEE, MA 02649
Phone number: 508-360-4008
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