Individual
MRS. BETSY BRIDGET MUKKUZHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-5534
Mailing address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-5534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN268102
MA
Other
Enumeration date
12/15/2017
Last updated
06/08/2023
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