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Individual

KRISTEN MARIE CESTODIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
88 WASHINGTON STREET, TAUNTON, MA 02780-1085
(508) 828-7293
(508) 821-9987
Mailing address
88 WASHINGTON ST, TAUNTON, MA 02780-2465
(508) 828-7293
(508) 821-9987

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN184285
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN184285
BOARD OF REGISTRATION NURSING
MA
Enumeration date
11/17/2009
Last updated
02/27/2013
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