Individual
MISS NIFLORE VITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1566
Mailing address
320 BROADWAY UNIT 45532, SOMERVILLE, MA 02145-4523
(781) 602-0188
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN93736
MA
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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