Individual
MAHRAY GEBREMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 BRADSTON ST, BOSTON, MA 02118-2703
(617) 318-6480
Mailing address
23 BRADSTON ST, BOSTON, MA 02118-2703
(617) 318-6480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2284617
MA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN2284617
MA
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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