Individual
MINAH EVANS ACLOQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
99 TOPEKA ST, BOSTON, MA 02118-2717
Mailing address
99 TOPEKA ST, BOSTON, MA 02118-2717
(617) 442-1499
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN2378853
MA
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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