Individual
MS. RITA M MONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 HOPE AVE, STE G 01, WALTHAM, MA 02453-2721
(781) 788-0005
(781) 788-0006
Mailing address
20 HOPE AVE, STE G 01, WALTHAM, MA 02453-2721
(781) 788-0005
(781) 788-0006
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
274989
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0716146
—
MA
Enumeration date
10/17/2007
Last updated
04/06/2011
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