Individual
SUSAN AHLQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
12 BRAEMOOR WOODS RD UNIT 107, SALEM, NH 03079-3549
(603) 328-5183
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2268415
MA
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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