Manoucheka Charlemagne
Licensed Practical Nurse in Randolph, MA. Individual provider (NPI-1).
NPI number1992590079
StatusActive
Last updated in NPPESApr 10, 2025
Details
- NPI
- 1992590079
- Entity type
- Individual (NPI-1)
- Name
- Manoucheka Charlemagne
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2025
- Certification date
- Apr 10, 2025
- Last updated
- Apr 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LN91156 | MA | Yes |
Practice location
19 Grove AveRandolph, MA 02368-2603
Phone 781-645-2907
Mailing address
19 Grove AveRandolph, MA 02368-2603
Phone 781-645-2907
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