Individual
CECILIA DOUR O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3297 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2655
(617) 522-4700
Mailing address
105 CAPEN ST, MILTON, MA 02186-1709
(617) 698-0091
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
122696
MA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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