Individual
ELVIRA MINASYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BOSTON ST, LYNN, MA 01904-3137
(781) 595-9581
Mailing address
41 FAIRFIELD ST, WATERTOWN, MA 02472-4203
(617) 821-7788
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2287566
MA
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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