Individual
LEYBIS MANUEL PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2030
(617) 425-2031
Mailing address
91 AMES ST APT C299, BOSTON, MA 02124-3051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2324873
MA
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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