Pasquina Revanche
Pasquina Revanche is a Licensed Practical Nurse in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2023.
- Licensed in
- MA
- In the registry since
- 2023
Practice location Address checks out
315 Belair StBrockton, MA 02301-2029
Phone: (617) 849-0535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence LN94663 (MA) |
|---|
Record details
| NPI number | 1083315477 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 13, 2023 |
| Last updated in NPPES | March 13, 2023 |
| Certification date | March 13, 2023 |
| Mailing address | 315 Belair St, Brockton, MA 02301-2029 |
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