Organization
REGIS COLLEGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRINIKA BULLOCK RN (REGISTERED NURSE)
(617) 755-0356
Entity
Organization
Contact information
Practice address
19 SOUTHMERE ROAD, MATTAPAN, MA 02126
(617) 755-0356
Mailing address
19 SOUTHMERE RD, MATTAPAN, MA 02126-2717
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
RN284389
MA
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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