Individual
AMY VIOLET GENNACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
529 MAIN ST, SUITE 216, CHARLESTOWN, MA 02129-1125
(617) 600-3195
(617) 924-1207
Mailing address
529 MAIN ST, SUITE 216, CHARLESTOWN, MA 02129-1125
(617) 600-3195
(617) 924-1207
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2272856
MA
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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