Individual
BETH MBURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 GLEDHILL AVE, EVERETT, MA 02149-4045
(617) 794-3465
Mailing address
17 GLEDHILL AVE, EVERETT, MA 02149-4045
(617) 794-3465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2273324
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
10/17/2018
Last updated
10/17/2018
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