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MR. REY SIMON SUNGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
14 MURDOCK ST., 2-5, SOMERVILLE, MA 02145
(628) 999-1259

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN97167
MA

Other

Enumeration date
02/27/2019
Last updated
02/27/2019
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