Linda D Revanche
NPI #1346712817 in Mattapan, Massachusetts
Provider Information
- NPI Number
- 1346712817
- Entity Type
- Individual
- Name
- Linda D Revanche
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - Home Health
- Enumeration Date
- Dec 21, 2018
- Last Updated
- Dec 21, 2018
Practice Location
- Address
- 19 LEDGEBROOK RD APT 1
- City
- Mattapan
- State
- Massachusetts
- ZIP Code
- 02126-2748
- Phone
- (857) 251-4008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Gerontology — Gerontology |
| Registered Nurse - Home Health — Home Health |
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