NPI 1720346810

Choupette Doralus, LPN

Practitioner Adult Companion Malden, MA

Practice location

Address: 258 Broadway, Malden, MA 02148-4525
Phone: (857) 888-1014
Mailing address: 258 Broadway APT 2, Malden, MA 02148-4525

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X Licence S62901986 (MA)

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Registry record

NPI: 1720346810
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 2012
Record last updated: 26 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.