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Individual

MS. ALIA WAKID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1455 BEACON ST, 21, BROOKLINE, MA 02446-4736
(707) 775-1306
Mailing address
1455 BEACON ST, 21, BROOKLINE, MA 02446-4736
(707) 775-1306

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
778975
CA
163W00000X
Registered Nurse
Primary
RN2300570
MA

Other

Enumeration date
10/27/2015
Last updated
10/27/2015
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