Individual
JUSTINA POLVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 KEYES DR APT 12, PEABODY, MA 01960-8020
(339) 235-8349
Mailing address
18 KEYES DR APT 12, PEABODY, MA 01960-8020
(339) 235-8349
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM04708
MA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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