Individual
MS. MARILYN GRIMES FRAKTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PH D
Contact information
Practice address
65 MARY ELLEN RD, WABAN, MA 02468-1026
(617) 966-3338
Mailing address
65 MARY ELLEN RD, WABAN, MA 02468-1026
(617) 966-3338
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
76445
MA
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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