Individual
AJA STAR BORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
102 DARTMOUTH ST., APT 5, BOSTON, MA 02116-6008
(857) 576-2353
Mailing address
102 DARTMOUTH ST APT 5, BOSTON, MA 02116-5159
(857) 891-4373
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN97086
MA
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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