Individual
MR. CHRYSNELL DESTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT-B
Contact information
Practice address
137 SOMERVILLE AVE, SOMERVILLE, MA 02143-3401
(617) 625-0126
Mailing address
700 COMMONWEALTH AVE, BOSTON, MA 02215-2496
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E931160
MA
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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