Individual
JUNNY VIXAMAR LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 NEWHALL ST APT 2, LYNN, MA 01902-3409
(617) 955-1358
Mailing address
95 NEWHALL ST APT 2, LYNN, MA 01902-3409
(617) 955-1358
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
CNA77536
MA
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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