Individual
MAHLET JIMMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 MOUNT AUBURN ST, WATERTOWN, MA 02472-3981
(857) 214-2970
Mailing address
186 LINDEN ST, EVERETT, MA 02149-2808
(857) 389-8677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2291477
MA
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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