Individual
MELISSA STACEY BIANCHI-COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
75 FENWOOD RD, BOSTON, MA 02115-6103
(617) 626-9727
Mailing address
75 FENWOOD RD, BOSTON, MA 02115-6103
(617) 626-9727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2312552
MA
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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