Individual
MISS ELEONORA NESTORA MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 GREENVILLE ST, ROXBURY, MA 02119-2315
(617) 445-6972
Mailing address
1 S POINT DR APT 312, DORCHESTER, MA 02125-3521
(401) 408-0665
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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