Individual
XIOMARA FORTUNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
660 REVERE BEACH BLVD, REVERE, MA 02151
(978) 304-7572
Mailing address
660 REVERE BEACH BLVD., REVERE, MA 02151
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA59799
MA
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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