Individual
MARY KATHERINE REZENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
30 MAPLE AVE APT 2, NORTH ANDOVER, MA 01845-2412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2293325
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2293325
MA
Other
Enumeration date
05/06/2021
Last updated
12/01/2022
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