Individual
NINA BASTIJANCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
181 BRIGHTON AVE, ALLSTON, MA 02134-2007
(617) 779-7313
Mailing address
75 BRAINTREE ST APT 319, BOSTON, MA 02134-1860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH237791
MA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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