Individual
MOLLY KOTZUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 RICHARDSON TER, SOMERVILLE, MA 02145-2536
(857) 654-7073
Mailing address
7 RICHARDSON TER, SOMERVILLE, MA 02145-2536
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN2318358
MA
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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