Individual
SOPHIA KHALIFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 PATTON RD, DEVENS, MA 01434-4401
(978) 615-5200
Mailing address
5 WEBBER RD, BURLINGTON, MA 01803-2838
(617) 771-8718
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2311715
MA
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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