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Individual

MIA CHRISTINE GILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
106 13TH ST APT 105, CHARLESTOWN, MA 02129-2065
(267) 229-6536
Mailing address
27 PARK ST, HYANNIS, MA 02601-5203
(508) 862-5566

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2328764
MA
363L00000X
Nurse Practitioner
Primary
RN2328764
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2328764
MA

Other

Enumeration date
08/24/2020
Last updated
03/17/2021
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