Pasquina Revanche
NPI #1083315477 in Brockton, Massachusetts
Provider Information
- NPI Number
- 1083315477
- Entity Type
- Individual
- Name
- Pasquina Revanche
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Mar 13, 2023
- Last Updated
- Mar 13, 2023
Practice Location
- Address
- 315 BELAIR ST
- City
- Brockton
- State
- Massachusetts
- ZIP Code
- 02301-2029
- Phone
- (617) 849-0535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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