Individual
JEAN MARIE MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
Mailing address
371 HUNTINGTON AVE, BOSTON, MA 02136-3858
(617) 361-0072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2270167
MA
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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