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MS. KIKI CONSTANCE VENIOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-4505
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN280987
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110101725A
MA
Enumeration date
08/14/2009
Last updated
04/11/2024
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