Individual
AIDA PALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
(617) 425-2002
Mailing address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
(617) 425-2002
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN2292651
MA
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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