Individual
OLIVIA RUTH MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 FRANCIS ST, BOSTON, MA 02115-6105
(617) 732-6040
Mailing address
1500 COMMONWEALTH AVE APT 5, BRIGHTON, MA 02135-4505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101022
MA
Other
Enumeration date
08/26/2024
Last updated
01/13/2025
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