Individual
YOHANNES CHARKO HALALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 HUNTINGTON AVE, BOSTON, MA 02116-5749
(617) 426-8964
Mailing address
18 BELLE ISLE AVE, REVERE, MA 02151-5539
(617) 669-6918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2332988
MA
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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