Most Relevant Information
Provider Data
| NPI Number: | 1003576166 |
| Provider Name: | MICHEL N/A ULYSSE LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LN99218 |
Most Important Dates
| Enumeration Date: | 12/29/2021 |
| Last Updated: | 12/29/2021 |
Provider Practice Location
70 JUDSON ST # 0
MALDEN
MA
021487023
Practice Location Phone/Fax
| Phone: | 1781775005 |
| Fax: |
Provider Mailing Location
70 JUDSON ST # 0
MALDEN
MA
021487023
Provider Mailing Phone/Fax
| Phone: | 1781775005 |
| Fax: |