Individual
MRS. PAULETTE ELLIS-NEMBHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
319 BROADWAY, EVERETT, MA 02149-3408
(617) 394-7702
Mailing address
319 BROADWAY, EVERETT, MA 02149-3408
(617) 394-7702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN273439
MA
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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