Individual
STACY CARLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
Mailing address
205 PALFREY ST, WATERTOWN, MA 02472-1830
(617) 835-2821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
230750
MA
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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