Individual
DAVID PETIT-FRERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 GREENDALE RD, BOSTON, MA 02126-1530
(781) 266-8960
Mailing address
99 WOOD AVE, HYDE PARK, MA 02136-1129
(781) 266-8960
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN85474
MA
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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