Individual
EVELISE ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
5 LAKESHORE CTR UNIT 1217, BRIDGEWATER, MA 02324-1082
(781) 975-2512
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN2272646
MA
Other
Enumeration date
03/23/2023
Last updated
04/07/2023
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