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Individual

MISS LEANNE NASSAR WINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
100 BLOSSOM ST, COX 630, BOSTON, MA 02114-2606
(617) 724-4810
Mailing address
75 FRANCIS ST, HOSPITALIST OFFICE, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115-6110
(617) 699-1808

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2258
MA

Other

Enumeration date
01/11/2007
Last updated
01/27/2014
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