Individual
EDWYDGE SEAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 FOX ST UNIT 1, BOSTON, MA 02122-1721
(678) 643-3413
Mailing address
7 FOX ST UNIT 1, BOSTON, MA 02122-1721
(678) 643-3413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2328982
MA
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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