Individual
EDWIN MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
529 MAIN ST, SUITE 216, CHARLESTOWN, MA 02129-1125
(617) 600-3195
Mailing address
529 MAIN ST, SUITE 216, CHARLESTOWN, MA 02129-1125
(617) 600-3195
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN279320
MA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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