Individual
ELANA BREANNA KALUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1225 DORCHESTER AVE, DORCHESTER, MA 02125-1501
(617) 265-0200
Mailing address
192 CAPTAIN EAMES CIR, ASHLAND, MA 01721-1983
(781) 888-0130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2328516
MA
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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