Individual
MS. KATHLEEN CENTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
840 HARRISON AVE, MENINO BUILDING, BOSTON, MA 02118
(617) 638-8605
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN253328
MA
Other
Enumeration date
03/23/2016
Last updated
04/07/2016
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