Individual
FAY KHUDAIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 ALBANY ST., BOSTON, MA 02118
(857) 654-1000
Mailing address
780 ALBANY ST., BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2308873
MA
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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