Individual
BRIAN COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 BROADWAY APT 203, MALDEN, MA 02148-6012
(617) 800-7161
Mailing address
39 BROADWAY APT 203, MALDEN, MA 02148-6012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2360446
MA
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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