Individual
DANIEL JOSIAH VIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1760
Mailing address
42 GLEN RD APT 2, JAMAICA PLAIN, MA 02130-3306
(262) 674-4092
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2326010
MA
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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