Berclyne A Edouard
Licensed Practical Nurse in Randolph, MA. Individual provider (NPI-1).
NPI number1689498826
StatusActive
Last updated in NPPESNov 13, 2024
Details
- NPI
- 1689498826
- Entity type
- Individual (NPI-1)
- Name
- Berclyne A Edouard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2024
- Certification date
- Nov 13, 2024
- Last updated
- Nov 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LN90102 | MA | Yes |
Practice location
6 Barry CircleRandolph, MA 02368-3631
Phone 857-350-5306
Mailing address
6 Barry CircleRandolph, MA 02368-3631
Phone 857-350-5306
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