Individual
MASSA SAMMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 1ST AVE, BOSTON, MA 02129-4557
(617) 426-2947
Mailing address
36 1ST AVE, BOSTON, MA 02129-4557
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2359778
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2359778
MA
Other
Enumeration date
04/11/2023
Last updated
01/31/2024
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