Individual
RUTH I DAHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-6491
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
244463
MA
Other
Enumeration date
03/31/2006
Last updated
11/23/2020
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