Individual
MERVIN L ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 AYLES RD, HYDE PARK, MA 02136-3802
(617) 361-2961
Mailing address
36 AYLES RD, HYDE PARK, MA 02136-3802
(617) 361-2961
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
158074
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
158074
MA
Other
Enumeration date
04/13/2010
Last updated
06/04/2014
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