Individual
MARAL ETESAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
Mailing address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9636419
FL
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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