Individual
MIRIAM DEUKMEJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 820-8065
Mailing address
10 UNDINE AVE, WINTHROP, MA 02152-1431
(203) 583-6031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2308486
MA
363L00000X
Nurse Practitioner
Primary
RN2308486
MA
Other
Enumeration date
09/01/2020
Last updated
12/19/2023
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