Individual
JOSE VIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 COLUMBIA RD, DORCHESTER, MA 02125-2424
(617) 287-8000
Mailing address
415 COLUMBIA RD, DORCHESTER, MA 02125-2424
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN2305154
MA
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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