Individual
LUNIE MAXI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BLUE HILLS PKWY APT 3, MILTON, MA 02186-2703
(617) 690-2375
Mailing address
300 BLUE HILLS PKWY APT 3, MILTON, MA 02186-2703
(617) 690-2375
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN86260
MA
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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