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Individual

CLISTENES MENEZES-ODELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
26 CENTRAL ST, SOMERVILLE, MA 02143-2827

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2361724
MA

Other

Enumeration date
12/07/2021
Last updated
03/31/2022
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