Individual
MISS JAIME DAUNT KULLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,WHNP
Contact information
Practice address
300 CONGRESS ST, 102, QUINCY, MA 02169-0907
(617) 479-6636
Mailing address
300 CONGRESS ST, SUITE 102, QUINCY, MA 02169-0907
(617) 479-6636
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN265781
MA
Other
Enumeration date
04/30/2009
Last updated
08/25/2010
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