Individual
SERENA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 WINTER PL FL 12, BOSTON, MA 02108-4733
(855) 210-1772
Mailing address
93 FAIRVIEW RD, LUNENBURG, MA 01462-2049
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN282343
MA
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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