Search › Massachusetts › 163WH0200X
Linda Revanche
NPI 1346712817 · on the registry since 2018 · sole proprietor
Practice
- Address
- 19 Ledgebrook Rd Apt 1
Mattapan, MA 02126 - Phone
- (857) 251-4008
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Also registered as
- 163WG0600X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts