Individual
SUREYA SABUHA MYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
14 MANNING AVE, LEOMINSTER, MA 01453-5768
(978) 878-8100
Mailing address
705 WATER ST, FITCHBURG, MA 01420-6479
(617) 716-9112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2333425
MA
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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