Individual
MARIE JESSY EDOUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
UPHAM'S CORNER HEALTH CENTER, 415 COLUMBIA RD, DORCHESTER, MA 02125
(617) 287-8000
(617) 287-0129
Mailing address
UPHAM'S CORNER HEALTH CENTER, 500 COLUMBIA RD, DORCHESTER, MA 02125
(617) 287-8000
(617) 287-0129
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN234047
MA
163WC0400X
Case Management Registered Nurse
RN234047
MA
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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