Mariette Belange, LPN
Licensed Practical Nurse in Randolph, MA. Individual provider (NPI-1).
NPI number1700419413
StatusActive
Last updated in NPPESFeb 20, 2020
Details
- NPI
- 1700419413
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mariette Belange
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 20, 2020
- Certification date
- Feb 20, 2020
- Last updated
- Feb 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LN87399 | MA | Yes |
Practice location
19 Nightingale CirRandolph, MA 02368-5244
Phone 857-891-0055
Mailing address
19 Nightingale CirRandolph, MA 02368-5244
Phone 857-891-0055
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