Individual
JULIE MARIE DATEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
38 BRADFORD ST, NEEDHAM, MA 02492-3002
(781) 444-4924
Mailing address
38 BRADFORD ST, NEEDHAM, MA 02492-3002
(781) 444-4924
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN212810
MA
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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