Individual
NICOLE BANDERAS-GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25 MARSTON ST APT 101, LAWRENCE, MA 01841-2356
(978) 683-4000
Mailing address
75 HALLRON ST, HYDE PARK, MA 02136-1345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2328315
MA
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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