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Ketma Pericles
Licensed Practical Nurse in Cambridge, Massachusetts
NPI 1760119648

Ketma Pericles is a Licensed Practical Nurse based in Malden, MA. Ketma Pericles practices in Cambridge, MA. The NPI Number for Ketma Pericles is 1760119648 and holds a License No. LN69424 (Massachusetts).

The current practice location address for Ketma Pericles is 1493 Cambridge St, Cambridge, MA and can be reached out via phone at 781-397-6546.

Location: 1493 Cambridge St, Cambridge, MA, 02148-1980
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760119648
Provider Name
Ketma Pericles
Credential
Provider Entity Type
Individual
Gender
Female
Address
1493 Cambridge St, Cambridge, MA, 02148-1980
Phone Number
781-397-6546
Fax Number
Provider Enumeration Date
08/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1493 Cambridge St
City
Cambridge
State
Massachusetts
Zip
02139-1047
Phone Number
781-397-6546
Fax Number
person
Provider Business Mailing Address Details
Address
1493 Cambridge St
City
Cambridge
State
Massachusetts
Zip
02139-1047
Phone Number
781-397-6546
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LN69424 (Massachusetts)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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