Individual
MRS. CAROLINE ANN HISTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
56 OAKLAND AVE, QUINCY, MA 02170-3741
(617) 953-1816
Mailing address
56 OAKLAND AVE, QUINCY, MA 02170-3741
(617) 953-1816
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
2270074
MA
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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