Individual
JENNIFER ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
Mailing address
240 BELMONT ST, 22, MALDEN, MA 02148-7860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2281883
MA
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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