Individual
MS. JARILIS FONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
Mailing address
19 SAINT CYPRIANS PL APT 1, ROXBURY, MA 02120-2130
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2328423
MA
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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