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Individual

LAURA MARIA KONIECZNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-3030
Mailing address
2 EARHART ST, UNIT 417, CAMBRIDGE, MA 02141-1876
(919) 425-9778

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2291534
MA

Other

Enumeration date
07/07/2014
Last updated
07/07/2014
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