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Individual

EDDY KYEZIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
133 FEDERAL ST, BOSTON, MA 02110-1703
(857) 239-5085
Mailing address
133 FEDERAL ST, BOSTON, MA 02110-1703
(857) 239-5085

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN2300154
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
06/07/2019
Last updated
06/07/2019
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