Individual
CARLA GONSALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3600
Mailing address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
252639
MA
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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