Individual
JACI APARECIDA XAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 COLUMBIA RD, DORCHESTER, MA 02125-2424
(617) 287-8000
Mailing address
415 COLUMBIA RD, DORCHESTER, MA 02125-2424
(617) 287-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2327311
MA
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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