Individual
CARLOS MARTINUS COVARRUBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
769 CENTRE ST STE 329, JAMAICA PLAIN, MA 02130-2557
(617) 286-2603
(617) 518-4304
Mailing address
44 COURTNEY RD, WEST ROXBURY, MA 02132-1044
(617) 515-6702
(617) 518-4304
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2303809
MA
Other
Enumeration date
08/21/2021
Last updated
10/28/2024
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