Individual
MARY NIKOLAIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
(857) 654-1095
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
(857) 654-1095
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
25359
MA
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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