Individual
RENEE LEONDIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(781) 812-3923
Mailing address
PO BOX 744, 13 BRUNSWICK ST, HUMAROCK, MA 02047-0744
(781) 812-3923
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN193073
MA
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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